Individual
EMILIE CATHERINE FORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 243-1000
(434) 244-7551
Mailing address
1215 LEE ST BOX 800158, CHARLOTTESVILLE, VA 22908-0816
(434) 243-1000
(434) 244-7551
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116034680
VA
Other
Enumeration date
06/05/2020
Last updated
04/19/2024
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