Search › Mississippi › 225100000X
Carrol Fortenberry, P.T
NPI 1659609923 · on the registry since 2009
Practice
- Address
- 2844 Traceland Ave.
Tupelo, MS 38801 - Phone
- (188) 863-9692
- Fax
- (662) 680-5097
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- MS, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-25
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