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Individual

DR. TERRY LEE FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
103 COX BLVD, GOLDSBORO, NC 27534-9478
(919) 734-8440
(919) 734-9387
Mailing address
103 COX BLVD, GOLDSBORO, NC 27534-9478
(919) 734-8440
(919) 734-9387

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27759
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33094
BCBSNC
NC
05
8933094
NC
Enumeration date
09/08/2005
Last updated
11/14/2012
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