NPI 1023435435
Shirley Fortson
Practice location
- Address
- 2100 Comer Ave, Columbus, GA 31904-8725
- Phone
- (706) 321-9606
- Mailing address
- 41 Richmond Park Dr, Phenix City, AL 36869
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1023435435
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Mar 2014
- Record last updated
- 25 Mar 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.