Sorg, Jack Lee

Sorg, Jack Lee is an individual health care provider with primary practice located at 1301 Well Brook Circle , Conyers GA 30012-3873. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Sorg, Jack Lee can be contacted via phone (770) 922-3023.

Contact Information

Primary practice address
1301 Well Brook Circle Conyers GA 30012-3873
Phone: (770) 922-3023
Fax: (770) 929-1016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 016434 Georgia

Profile Details

NPI number 1407941131
LBN Legal business name Sorg, Jack Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 29th, 2014 - about 12 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.

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