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1023692290
NELIA FORTSON MIMS
TIFTON, GA
NPI
1023692290
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Former Name
NELIA FORTSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT015212)
Enumeration Date
2021-05-12
Last Update Date
2022-09-07
Business Address
NELIA FORTSON MIMS DPT
2227 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number: 229-353-6188
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Mailing Address
NELIA FORTSON MIMS DPT
2227 US HIGHWAY 41 N
TIFTON, GA 31794-2749
Phone number:
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