| William Camp Fortson, MD | |
|
6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 | |
| (762) 408-3385 | |
| Not Available |
| Full Name | William Camp Fortson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336124049 | NPI | - | NPPES |
| 202I106995 | Other | GA | MEDICARE PTAN |
| 000328688 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 23598 (Georgia) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 023598 (Georgia) | Primary |
| Entity Name | St Francis Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
| Mailing Address | Practice Location Address |
|---|---|
| William Camp Fortson, MD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3385 | William Camp Fortson, MD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3385 |
Dr. John Phillip Byers, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 065-874-1427 | |
Dr. Radhakrishnan Narasimhan, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 706-332-6236 | |
Dr. Niraj Vishnu Gor, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-3386 |