# MARK R. FORTSON, M.D. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144390121
- **Authorized official:** MARK R FORTSON M.D. (PRESIDENT)
- **Authorized official phone:** (706) 653-1072

## Contact information

- **Practice address:** 1907 - C 7TH AVE, COLUMBUS, GA 31901
- **Practice address phone:** (706) 653-1072
- **Practice address fax:** (706) 653-1075
- **Mailing address:** 1907 - C 7TH AVE, COLUMBUS, GA 31901
- **Mailing address phone:** (706) 653-1072
- **Mailing address fax:** (706) 653-1075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 024937 | GA | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020