Forrester, Michelle

Forrester, Michelle is an individual health care provider with primary practice located at 1730 Lawrenceville Suwanee Rd , Lawrenceville GA 30043-3507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Forrester, Michelle can be contacted via phone (770) 338-0089.

Contact Information

Primary practice address
1730 Lawrenceville Suwanee Rd Lawrenceville GA 30043-3507
Phone: (770) 338-0089
Fax: (770) 338-0091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2052 Georgia

Profile Details

NPI number 1205140613
LBN Legal business name Forrester, Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2010
Last updated Jul 28th, 2010 - about 15 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 1205140613 NPPES
Georgia Other 2052 STATE LICENSE

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