Ent Of South Atlanta

LBN: James K. Fortson, M.D., P.C.
Ent Of South Atlanta is an health care organization with primary practice located at 1136 Cleveland Ave Suite 300, East Point GA 30344-3618. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. James K. Fortson, M.D., P.C. can be contacted via phone (404) 768-9350, or through Berks, Pia M via phone (770) 378-2449.

Contact Information

Primary practice address
1136 Cleveland Ave Suite 300 East Point GA 30344-3618
Phone: (404) 768-9350
Fax: (404) 768-2530
Website:
Map and Directions
Authorized official contact:
Name: Berks, Pia M
Phone: (770) 378-2449

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 043205 Georgia

Profile Details

NPI number 1245385806
LBN Legal business name James K. Fortson, M.D., P.C.
DBA Doing business as Ent Of South Atlanta
Authorized official Berks, Pia M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jan 3rd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245385806 NPPES
Georgia MEDICAID 000738603J

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