Charles Edward Fortenberry, R.N.

NPI #1023234648 in Decatur, Alabama

Provider Information

NPI Number
1023234648
Entity Type
Individual
Name
Charles Edward Fortenberry, R.N.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
R.N.
Enumeration Date
Apr 18, 2007
Last Updated
Oct 22, 2007

Practice Location

Address
1103 16TH AVE SE
State
Alabama
ZIP Code
35601-3595
Phone
(256) 350-0362

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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