IndividualActive
Anthony Fortin, MD
NPI 1437680899 · Diagnostic Radiology Physician · Jackson, MS
Provider details
- NPI number
- 1437680899
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- T-3337 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Radiology
Jackson, MS 39216-4500
Phone: (601) 984-2500
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Additional practice locations (2)
- 15 Professional Pkwy Ste 126Hattiesburg, MS 39402-2647Phone: (601) 450-0521Fax: (601) 450-0518
- 415 S 28th AveHattiesburg, MS 39401-7246Phone: (601) 264-6000
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.