Forrest, Georgia

Forrest, Georgia is an individual health care provider with primary practice located at 4250 Brownsville Rd , Powder Springs GA 30127-2559. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Forrest, Georgia can be contacted via phone (678) 567-8000.

Contact Information

Primary practice address
4250 Brownsville Rd Powder Springs GA 30127-2559
Phone: (678) 567-8000
Fax: (770) 439-3555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 271138-1 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 72267 Georgia

Profile Details

NPI number 1366767444
LBN Legal business name Forrest, Georgia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2010
Last updated Oct 29th, 2019 - about 5 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.

Request for update

Popular Providers