Individual
DAKOTAH ROSE FORELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
667 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
667 CHURCH ST NE, MARIETTA, GA 30060-1101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2904
AL
Other
Enumeration date
04/08/2019
Last updated
01/02/2024
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