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
Phone: (770) 656-6639
Fax: (770) 783-2042
Website:
Health care specialties
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 11 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 | 1275507113 | NPPES |
| Georgia | MEDICAID | 348649033D | |
| Georgia | MEDICAID | 262466400 |
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