Mr Jack Lee Sorg, MD in Conyers, GA - General Practice

Mr Jack Lee Sorg, MD is a General Practice physician based in Conyers, Georgia. Mr Jack Lee Sorg is licensed to practice in Georgia (license number 016434) and his current practice location is 1301 Well Brook Circle, Conyers, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 922-3023.

NPI number for Mr Jack Lee Sorg is 1407941131 and his current mailing address is 1301 Wellbrook Circle Ne, Conyers, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407941131.

Contact Information

	Mr Jack Lee Sorg, MD
	1301 Well Brook Circle, Conyers, GA 30012-3873
	(770) 922-3023
	(770) 929-1016

Physician's Profile

Full Name	Mr Jack Lee Sorg
Gender	Male
Speciality	General Practice
Location	1301 Well Brook Circle, Conyers, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1407941131
Provider Enumeration Date: 10/04/2006
Last Update Date: 01/29/2014

Medical Identifiers

Medical identifiers for Mr Jack Lee Sorg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407941131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	016434 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Lee Sorg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jack Lee Sorg, MD 1301 Wellbrook Circle Ne, Conyers, GA 30012-3873 Ph: (770) 922-3023	Mr Jack Lee Sorg, MD 1301 Well Brook Circle, Conyers, GA 30012-3873 Ph: (770) 922-3023

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General Practice Doctors in Conyers, GA

Mary Jane B Kassam, MD General Practice Medicare: Medicare Enrolled Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-922-8653
Dr. Jackson L Gates, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1880 Lancaster Drive, Conyers, GA 30013 Phone: 678-591-6509

Mr Jack Lee Sorg, MD - General Practice in Conyers, GA