Individual
DR. EUGENE CHARLES FORTUNE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
1831 5TH AVE, COLUMBUS, GA 31904-8915
(706) 320-8700
Mailing address
1903 TRANQUIL LN, PHENIX CITY, AL 36867-8542
(706) 575-2256
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
91771
GA
Other
Enumeration date
04/09/2017
Last updated
07/03/2025
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