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Edwin J Fortenbery, MD
Nuclear Radiology Physician in Albany, Georgia
NPI 1073596789

Edwin J Fortenbery is a Nuclear Radiology Physician based in Albany, GA and is specialized in Nuclear Radiology. Edwin J Fortenbery practices in Albany, GA and has the professional credentials of MD. The NPI Number for Edwin J Fortenbery is 1073596789 and holds a License No. 045221 (Georgia).

The current practice location address for Edwin J Fortenbery is 417 W 3Rd Ave, Albany, GA and can be reached out via phone at 706-653-1088 and via fax at 706-653-1162.

Location: 417 W 3Rd Ave, Albany, GA, 31702-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073596789
Provider Name
Edwin J Fortenbery
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
417 W 3Rd Ave, Albany, GA, 31702-1828
Phone Number
706-653-1088
Fax Number
706-653-1162
Provider Enumeration Date
11/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCBS 01 GA 52584721 013
institution
Provider Business Practice Location Address Details
Address
417 W 3Rd Ave
City
Albany
State
Georgia
Zip
31701-1943
Phone Number
706-653-1088
Fax Number
706-653-1162
person
Provider Business Mailing Address Details
Address
417 W 3Rd Ave
City
Albany
State
Georgia
Zip
31701-1943
Phone Number
706-653-1088
Fax Number
706-653-1162
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
045221 (Georgia)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
045221 (Georgia)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
045221 (Georgia)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
045221 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
045221 (Georgia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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