Mark R. Fortson, M.d. P.c. | |
1907 - C 7th Ave Columbus GA 31901 | |
(706) 653-1072 | |
(706) 653-1075 |
Full Name | Mark R. Fortson, M.d. P.c. |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1907 - C 7th Ave, Columbus, Georgia |
Authorized Official Name and Position | Mark R Fortson (PRESIDENT) |
Authorized Official Contact | 7066531072 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark R. Fortson, M.d. P.c. 1907 - C 7th Ave Columbus GA 31901 Ph: (706) 653-1072 | Mark R. Fortson, M.d. P.c. 1907 - C 7th Ave Columbus GA 31901 Ph: (706) 653-1072 |
NPI Number | 1144390121 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144390121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 024937 (Georgia) | Primary |
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