Fortson, Mark Routon

Fortson, Mark Routon is an individual health care provider with primary practice located at 2200 Hamilton Rd Ste B , Columbus GA 31904-8856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fortson, Mark Routon can be contacted via phone (706) 655-8800.

Contact Information

Primary practice address
2200 Hamilton Rd Ste B Columbus GA 31904-8856
Phone: (706) 655-8800
Fax: (706) 940-9767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 24937 Georgia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 024937 Georgia

Profile Details

NPI number 1457452591
LBN Legal business name Fortson, Mark Routon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457452591 NPPES
Georgia MEDICAID 000274612
Georgia Other 10BDHLT

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