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Individual

SCOTT T FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10721 MAIN ST, #200, FAIRFAX, VA 22030
(703) 385-6870
(703) 385-6875
Mailing address
10721 MAIN ST, #200, FAIRFAX, VA 22030
(703) 385-6870
(703) 385-6875

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101056301
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101056301
MEDICAL LICENSE NUMBER
01
138983
ANTHEM BCBS
01
2125649
MAMSI
01
3574063
AETNA HMO
01
503342
NCPPO
01
517580002
CAREFIRST BCBS BLUE CHOIC
01
7348149
AETNA
01
J7580002
CAREFIRST BCBS BLUE CHOIC
Enumeration date
11/22/2006
Last updated
03/07/2023
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