Individual
CHRISTOPHER MORGAN FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
300 EAST HOSPITAL ROAD, DWIGHT D. EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-1910
Mailing address
300 EAST HOSPITAL ROAD, DWIGHT D. EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-1910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
847558
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
103847
TX
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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