| Mr Jack Lee Sorg, MD | |
| 1301 Well Brook Circle, Conyers, GA 30012-3873 | |
| (770) 922-3023 | |
| (770) 929-1016 | 
| Full Name | Mr Jack Lee Sorg | 
|---|---|
| Gender | Male | 
| Speciality | General Practice | 
| Location | 1301 Well Brook Circle, Conyers, Georgia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407941131 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 016434 (Georgia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Jack Lee Sorg, MD 1301 Wellbrook Circle Ne, Conyers, GA 30012-3873 Ph: (770) 922-3023 | Mr Jack Lee Sorg, MD 1301 Well Brook Circle, Conyers, GA 30012-3873 Ph: (770) 922-3023 | 
| Mary Jane B Kassam, MD General Practice Medicare: Medicare Enrolled Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-922-8653 | |
| Dr. Jackson L Gates, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1880 Lancaster Drive, Conyers, GA 30013 Phone: 678-591-6509 | |
| Dr. Wanja E Mwangi, MD, MPH General Practice Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3030 |