Dolly, Forrest Ray

Dolly, Forrest Ray is an individual health care provider with primary practice located at 1607 Saint James Ct Ste 2 , Tallahassee FL 32308-5352. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Dolly, Forrest Ray can be contacted via phone (850) 878-8714.

Contact Information

Primary practice address
1607 Saint James Ct Ste 2 Tallahassee FL 32308-5352
Phone: (850) 878-8714
Fax: (850) 878-2464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME0039161 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME0039161 Florida

Profile Details

NPI number 1508898222
LBN Legal business name Dolly, Forrest Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508898222 NPPES
Georgia MEDICAID 00279122A
Georgia MEDICAID 062879400

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