| 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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