James Fortenberry
Pediatric Critical Care Doctor
1575 Northeast Expy Ne
Brookhaven
, Georgia 30329-2401
James Fortenberry
Pediatric Critical Care Doctor
1575 Northeast Expy Ne
Brookhaven
, Georgia 30329-2401
(404) 785-6233
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- James Fortenberry
- 1575 Northeast Expy Ne
- Brookhaven, GA
- Zip : 30329-2401
- Fax : (404) 785-6233
- Phone : (404) 785-1313
Second Address
- James Fortenberry
- 1575 Northeast Expy Ne
- Brookhaven, GA
- Zip : 30329-2401
- Fax : (404) 785-6233
- Phone : (404) 785-1313
Reviews
FAQs
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What type of doctor is James Fortenberry
In what state does James Fortenberry practice in?
Where is James Fortenberry ’s practice located?
What is James Fortenberry ’s gender?
Is James Fortenberry a sole practitioner?
Is James Fortenberry accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 35875 | GA |
National Provider Identifier
| NPI | 1194788869 |
|---|---|
| Provider Name | James Fortenberry |
| First Address | Brookhaven, GA 30329-2401 |
| Second Address | Brookhaven, GA 30329-2401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2006 |
| Last Update Date | 25/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E55982 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.