Male or Other

Sidney R. Fortney MD

Endocrinology, Diabetes & Metabolism Physician in Oak Island, NC(View on Map)

Full Name

Sidney Ray Fortney MD

NPI Number

1417947714

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/27/2005

Specialties

(Taxonomies)

Code

207RE0101X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

13798

Contact
Information

Purpose

Mailing
Location

Address

8715 E OAK ISLAND DR
8715 E OAK ISLAND DR

City

Oak Island
Oak Island

State

NC
NC

Postal Code

28465-8367
28465-8367

Country

US
US

Telephone Number

(910) 278-3316
(910) 278-3316

Identifiers

Identifier

8933170
P00399761
33170

Identifier State

NC
NC
NC

Identifier Issuer

Unknown
RR MEDICARE
BCBS IND PROV #

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/24/2008

Provider Address