SearchGeorgiaStudent in an Organized Health Care Education/Training Program

Justin Mortensen

NPI 1376333872 · on the registry since 2025 · sole proprietor

Practice

Address
201 3rd Ave Bldg 38200
Pmb 216
Fort Eisenhower, GA 30905
Phone
(414) 573-1502

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Sex
Male
Record last updated
2025-05-08

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 Georgia