Individual
JOHN FORSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1222 TROTWOOD AVE STE 503, COLUMBIA, TN 38401-6422
(931) 490-7775
(931) 490-7797
Mailing address
1222 TROTWOOD AVE STE 503, COLUMBIA, TN 38401-6422
(931) 490-7775
(931) 490-7797
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO5216
TN
207RP1001X
Pulmonary Disease Physician
Primary
DO5216
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
07/25/2023
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