Organization
FORTRESS CLINICAL RESEARCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMARIO WILSON (CEO/ MEDICAL DIRECTOR)
(601) 316-4613
Entity
Organization
Contact information
Practice address
14501 LEMOYNE BLVD, BILOXI, MS 39532-9326
(601) 316-5538
Mailing address
14501 LEMOYNE BLVD, BILOXI, MS 39532-9326
(601) 316-5538
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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