Forrest, John W

Forrest, John W is an sole proprietor health care provider with primary practice located at 705 Jesse Jewell Pkwy Se Ste 100, Gainesville GA 30501-3868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Forrest, John W can be contacted via phone (770) 532-9639.

Contact Information

Primary practice address
705 Jesse Jewell Pkwy Se Ste 100 Gainesville GA 30501-3868
Phone: (770) 532-9639
Fax: (770) 532-0753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 023956 Georgia

Profile Details

NPI number 1083635726
LBN Legal business name Forrest, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Mar 18th, 2015 - about 9 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 1083635726 NPPES
Georgia Other 180001313 RAILROAD MCR
Georgia Other 0528130001 RAILROAD MCR

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