MR. William Phillip Fortenberry JR.

NPI #1235521923 in Petal, Mississippi

Provider Information

NPI Number: 1235521923
Entity Type: Individual
Name: MR. William Phillip Fortenberry JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Mar 4, 2015
Last Updated: Aug 7, 2023

Practice Location

Address: 50 PARKWAY LN
City: Petal
State: Mississippi
ZIP Code: 39465-3035
Phone: (601) 544-7404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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