Fortenbery, Edwin J
Fortenbery, Edwin J is an individual health care provider with primary practice located at 417 W 3Rd Ave , Albany GA 31701-1943. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fortenbery, Edwin J can be contacted via phone (706) 653-1088.Contact Information
Primary practice address
417 W 3Rd Ave
Albany GA 31701-1943
Phone: (706) 653-1088
Fax: (706) 653-1162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 045221 | Georgia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 045221 | Georgia |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 045221 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 045221 | Georgia |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 045221 | Georgia |
Profile Details
| NPI number | 1073596789 |
|---|---|
| LBN Legal business name | Fortenbery, Edwin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073596789 | NPPES |
| Georgia | Other | BCBS | 52584721 013 |
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