Caleb Fortenberry, DC

NPI #1356957732 in Gulfport, Mississippi

Provider Information

NPI Number: 1356957732
Entity Type: Individual
Name: Caleb Fortenberry, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 21, 2020
Last Updated: Sep 21, 2020

Practice Location

Address: 2045 E PASS RD STE B
City: Gulfport
State: Mississippi
ZIP Code: 39507-3761
Phone: (228) 896-7574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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