CHARLES EDWARD FORTENBERRY

DECATUR, AL
NPI1023234648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-049601)
Enumeration Date2007-04-18
Last Update Date2007-10-22
Business Address
-- CHARLES EDWARD FORTENBERRY R.N.
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number: 256-350-0362
Mailing Address
-- CHARLES EDWARD FORTENBERRY R.N.
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number:
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