Individual
JAMES DAVID FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
747 WOODY POINT DR, MURRELLS INLET, SC 29576-7070
(843) 359-9749
Mailing address
747 WOODY POINT DR, MURRELLS INLET, SC 29576-7070
(843) 359-9749
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0010-00503
NC
367500000X
Certified Registered Nurse Anesthetist
1-103958
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1775
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051527738
—
AL
01
—
515-27738
BCBS
AL
01
—
P00240122
RR MEDICARE
AL
Enumeration date
12/13/2005
Last updated
08/06/2020
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