Dr EDWIN J FORTENBERY MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1984 from Emory University School Of Medicine.
PHOEBE PHYSICIAN GROUP INC
151 MAYO ST B
AMERICUS
GA
317094782
Tel: 2299282900
| Npi | 1073596789 |
| Pac Id | 2264329762 |
| Professional Enrollment Id | I20040301000444 |
| Last Name | FORTENBERY |
| First Name | EDWIN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PHOEBE PHYSICIAN GROUP INC |
| Group Practice Pac Id | 8426112350 |
| Number Of Group Practice Members | 324 |
| Line 1 Street Address | 151 MAYO ST B |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AMERICUS |
| State | GA |
| Zip Code | 317094782 |
| Phone Number | 2299282900 |
| Hospital Affiliation Ccn 1 | 110007 |
| Hospital Affiliation Lbn 1 | PHOEBE PUTNEY MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 110044 |
| Hospital Affiliation Lbn 2 | PHOEBE SUMTER MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 111300 |
| Hospital Affiliation Lbn 3 | SOUTHWEST GEORGIA REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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