Individual
AUSTIN FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
485 POOLER PKWY, POOLER, GA 31322-5102
(913) 930-7100
Mailing address
485 POOLER PKWY, POOLER, GA 31322-5102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010167
GA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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