Individual
DR. THOMAS GETZEN FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 18TH ST STE A30, COLUMBUS, GA 31901
(706) 571-1182
Mailing address
707 CENTER ST STE 110, COLUMBUS, GA 31901-1575
(706) 494-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
072281
GA
207R00000X
Internal Medicine Physician
4777
GA
207RP1001X
Pulmonary Disease Physician
Primary
072281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072281
GA LICENSES
GA
Enumeration date
06/28/2011
Last updated
01/14/2019
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