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Individual
DR. DAVID M FORTENBERRY
Active
Individual
DR. DAVID M FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
7151
MT
2086S0129X
Vascular Surgery Physician
Primary
7151
MT
Other
Enumeration date
12/18/2006
Last updated
04/29/2021
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