Shirley Fortson

NPI #1023435435 in Columbus, Georgia

Provider Information

NPI Number
1023435435
Entity Type
Individual
Name
Shirley Fortson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Enumeration Date
Mar 24, 2014
Last Updated
Mar 25, 2014

Practice Location

Address
2100 COMER AVE
State
Georgia
ZIP Code
31904-8725
Phone
(706) 321-9606

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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