Gregory Lamar Fortner in Reidsville - Addiction Medicine
Gregory Lamar Fortner - NPI 1326240904
Gregory Lamar Fortner is a Addiction Medicine in Reidsville, Georgia. Gregory Lamar Fortner practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Gregory Lamar Fortner is 1326240904. The last update date is 2015-12-16.
Gregory Lamar Fortner's current location address is 222s Main St, Reidsville, Georgia. You can contact this provider via phone number 9123941002. The mailing address for Gregory Lamar Fortner is 222s Main St, Reidsville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Lamar Fortner |
|---|---|
| Address | 222s Main St, Reidsville, Georgia |
| Phone Number | 9123941002 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1326240904 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2015-12-16 |
Provider Mailing Address Detail
| Address | 222s Main St |
|---|---|
| City | Reidsville |
| State | Georgia (GA) |
| Post Code | 304534602 |
| Phone Number | 9123941002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 32733 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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What is the unique 10-digit identifier code assigned to Gregory Lamar Fortner by the Centers for Medicare & Medicaid Services?
The Gregory Lamar Fortner has been issued the NPI (National Provider Identifier) 1326240904 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gregory Lamar Fortner is geographically located?
The Gregory Lamar Fortner is physically situated at the following location: 222S Main St, Reidsville, GA, 304534602.
What is the Gregory Lamar Fortner's specialty and taxonomy code?
The Gregory Lamar Fortner's specialty is Addiction Medicine, and the corresponding taxonomy code is 2084A0401X.
When did the Gregory Lamar Fortner receive its 1326240904?
The Gregory Lamar Fortner was issued its 1326240904 on 2007-06-05, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Gregory Lamar Fortner most recently updated or revised?
The details related to Gregory Lamar Fortner, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-16.