Most Relevant Information
Provider Data
| NPI Number: | 1003694597 |
| Provider Name: | ELMA FORTNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2023 |
| Last Updated: | 09/18/2023 |
Provider Practice Location
27 MIDWAY LOOP
ELKINS
WV
262411373
Practice Location Phone/Fax
| Phone: | 3046365252 |
| Fax: |
Provider Mailing Location
27 MIDWAY LOOP
ELKINS
WV
262411373
Provider Mailing Phone/Fax
| Phone: | 3046365252 |
| Fax: |