Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK LEE SORG, MD
ActiveMR. JACK LEE SORG, MD is a General Practice healthcare provider located in CONYERS, Georgia. NPI 1407941131 is currently active in the NPPES registry. Verify at CMS.
General Practice · CONYERS, GA
Registration Details
- NPI Number
- 1407941131
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.882821676034 yrs)
- Last Updated
- Jan 29, 2014
- License
-
016434 (GA)
Practice Information
- Address
-
1301 WELL BROOK CIRCLECONYERS, GA, 300123873Browse GA providers · Browse ZIP 30012
- Phone
- 7709223023
- Fax
- 7709291016
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in CONYERS, GA
| Name | Credential | NPI |
|---|---|---|
| MARY JANE B KASSAM | MD | 1306844675 |
| DR. JACKSON L GATES | M.D. | 1962418400 |
| DR. WANJA E MWANGI | MD, MPH | 1982960118 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.