Individual
KATRINA FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 256-3200
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 256-3200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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