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Contact Information

FORTNER SURGICAL ASSISTING P.C.
25 HEMLOCK SHOALS DR
DAWSONVILLE, GA30534-0043
 Phone: 770-533-3398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for FORTNER SURGICAL ASSISTING P.C.

NPI Number 1457011314
LBN Legal business name FORTNER SURGICAL ASSISTING P.C.
Authorized official MACY FORTNER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2021
Last updated 12/20/2021 - About 4 years ago
Identifiers
GA Medicaid 1154950905
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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