SearchMississippi374U00000X

Melissa Fortenberry

NPI 1124636782 · on the registry since 2020 · sole proprietor

Practice

Address
507 Wallace St
Mendenhall, MS 39114
Phone
(769) 229-1940

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
372500000X
372600000X
385H00000X
Sex
Female
Record last updated
2020-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi