Fortson, William Camp
Fortson, William Camp is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Moore GA 31905-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fortson, William Camp can be contacted via phone (762) 408-3385.Contact Information
Primary practice address
6600 Van Aalst Blvd Bldg 9250
Fort Moore GA 31905-2102
Phone: (762) 408-3385
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 23598 | Georgia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 023598 | Georgia |
Profile Details
| NPI number | 1336124049 |
|---|---|
| LBN Legal business name | Fortson, William Camp |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jan 3rd, 2024 - about 2 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 | 1336124049 | NPPES |
| Georgia | Other | 202I106995 | MEDICARE PTAN |
| Georgia | MEDICAID | 000328688 | MEDICARE PTAN |
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