Individual
DEBORAH FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.H.I.S
Contact information
Practice address
1151 N STATE ST, SUITE 107, JACKSON, MS 39202-2407
(601) 352-4613
Mailing address
2025 BUENA VISTA DRIVE, VESTAVIA HILLS, AL 35216
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
45HAO285
MS
Other
Enumeration date
07/19/2016
Last updated
09/06/2017
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