NELIA FORTSON MIMS

TIFTON, GA
NPI1023692290
Former NameNELIA FORTSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT015212)
Enumeration Date2021-05-12
Last Update Date2022-09-07
Business Address
NELIA FORTSON MIMS DPT
2227 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: 229-353-6188
Mailing Address
NELIA FORTSON MIMS DPT
2227 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: