Individual provider · Type 1 NPI
Edwin J. Fortenbery, MD
Nuclear Radiology Physician · Albany, GA
NPI number
1073596789
Active
Practice location
417 W 3rd Ave
Albany, GA 31701-1943
Fax (706) 653-1162
Mailing address
PO Box 1828
Albany, GA 31702-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 045221 (GA) |
| Vascular & Interventional Radiology Physician | 2085R0204X | 045221 (GA) |
| Neuroradiology Physician | 2085N0700X | 045221 (GA) |
| Pediatric Radiology Physician | 2085P0229X | 045221 (GA) |
| Nuclear Radiology Physician Primary | 2085N0904X | 045221 (GA) |
Nuclear Radiology Physician: 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.
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About NPI 1073596789
Edwin J. Fortenbery, MD's National Provider Identifier is 1073596789, issued on Nov 28, 2005. The primary taxonomy on file is Nuclear Radiology Physician (2085N0904X), and the practice location is in Albany, GA. The record was last updated on Sep 11, 2025.