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Kyle D Fortman, PA
Physician Assistant in Atlanta, Georgia
NPI 1598828923

Kyle D Fortman is a Physician Assistant based in Atlanta, GA. Kyle D Fortman practices in Atlanta, GA and has the professional credentials of PA. The NPI Number for Kyle D Fortman is 1598828923 and holds a License No. 1114 (Georgia).

The current practice location address for Kyle D Fortman is 1968 Peachtree Rd Nw, Atlanta, GA and can be reached out via phone at 404-367-3014.

Location: 1968 Peachtree Rd Nw, Atlanta, GA, 30309-1281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598828923
Provider Name
Kyle D Fortman
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1968 Peachtree Rd Nw, Atlanta, GA, 30309-1281
Phone Number
404-367-3014
Fax Number
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3379860 05 TN
3662061 05 TN
4075854 01 TN BCBS TN
institution
Provider Business Practice Location Address Details
Address
1968 Peachtree Rd Nw
City
Atlanta
State
Georgia
Zip
30309-1281
Phone Number
404-367-3014
Fax Number
person
Provider Business Mailing Address Details
Address
1968 Peachtree Rd Nw
City
Atlanta
State
Georgia
Zip
30309-1281
Phone Number
404-367-3014
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1114 (Tennessee)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1114 (Tennessee)
Definition
Definition to come...
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