Organization
MARK R. FORTSON, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R FORTSON M.D. (PRESIDENT)
(706) 653-1072
Entity
Organization
Contact information
Practice address
1907 - C 7TH AVE, COLUMBUS, GA 31901
(706) 653-1072
(706) 653-1075
Mailing address
1907 - C 7TH AVE, COLUMBUS, GA 31901
(706) 653-1072
(706) 653-1075
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
024937
GA
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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