Cort, Samuel Fitzroy

Cort, Samuel Fitzroy is an individual health care provider with primary practice located at 289 Jonesboro Rd Ste 339 , Mcdonough GA 30253-3725. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cort, Samuel Fitzroy can be contacted via phone (770) 656-6639.

Contact Information

Primary practice address
289 Jonesboro Rd Ste 339 Mcdonough GA 30253-3725
Fax: (770) 783-2042
Website:

Profile Details

NPI number 1275507113
LBN Legal business name Cort, Samuel Fitzroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275507113 NPPES
Georgia MEDICAID 348649033D
Georgia MEDICAID 262466400

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