Individual
BRIANA ELLEN FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1531
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1531
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
GA204328
GA
363LG0600X
Gerontology Nurse Practitioner
GA204328
GA
Other
Enumeration date
02/28/2014
Last updated
03/08/2014
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