Fortune, James Everett

Fortune, James Everett is an sole proprietor health care provider with primary practice located at 7580 Clarington Cv , Southaven MS 38671-5657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fortune, James Everett can be contacted via phone (662) 349-1940.

Contact Information

Primary practice address
7580 Clarington Cv Southaven MS 38671-5657
Phone: (662) 349-1940
Fax: (662) 349-3212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD0000007792 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 06635 Mississippi

Profile Details

NPI number 1861538951
LBN Legal business name Fortune, James Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jan 28th, 2021 - about 4 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 1861538951 NPPES
Mississippi MEDICAID 00017199

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