Organization
ON-SIGHT CONTINENCE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F FORBIS (CFO)
(252) 985-1371
Entity
Organization
Contact information
Practice address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 305, BIRMINGHAM, AL 35209-6808
(252) 985-1371
Mailing address
PO BOX 7396, ROCKY MOUNT, NC 27804-0396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG7431
RR MEDICARE GROUP
AL
Enumeration date
06/21/2007
Last updated
05/22/2008
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