person
Mr. Jack Lee Sorg, MD
General Practice Physician in Conyers, Georgia
NPI 1407941131

Jack Lee Sorg is a General Practice Physician based in Conyers, GA. Jack Lee Sorg practices in Conyers, GA and has the professional credentials of MD. The NPI Number for Jack Lee Sorg is 1407941131 and holds a License No. 016434 (Georgia).

The current practice location address for Jack Lee Sorg is 1301 Well Brook Circle, Conyers, GA and can be reached out via phone at 770-922-3023 and via fax at 770-929-1016. You can also correspond with Jack Lee Sorg through the mailing address at 1301 WELLBROOK CIRCLE NE, CONYERS, GA - 30012-3873 (mailing address contact number: 770-922-3023).

Location: 1301 Well Brook Circle, Conyers, GA, 30012-3873
person
Provider Profile Details
NPI Number
1407941131
Provider Name
Jack Lee Sorg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1301 Well Brook Circle, Conyers, GA, 30012-3873
Phone Number
770-922-3023
Fax Number
770-929-1016
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1301 Well Brook Circle
City
State
Zip
30012-3873
Phone Number
770-922-3023
Fax Number
770-929-1016
person
Provider Business Mailing Address Details
Address
1301 Well Brook Circle
City
State
Zip
30012-3873
Phone Number
770-922-3023
Fax Number
770-929-1016
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
016434 (Georgia)
Definition
Definition to come...
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