Individual
MR. CHAD MICHAEL FORTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 251-2067
Mailing address
1717 SHIPYARD BLVD STE 350, CAROLINA SPORTS MEDICINE, WILMINGTON, NC 28403
(910) 799-0110
(910) 799-1958
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2015-01168
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2015-01168
NC
Other
Enumeration date
03/28/2009
Last updated
01/14/2020
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