Individual
DR. MICHAEL CARRAWAY FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
239 SW PROFESSIONAL GLN, LAKE CITY, FL 32025-1105
(386) 755-8833
Mailing address
PO BOX 2589, LAKE CITY, FL 32056-2589
(386) 755-8833
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN17084
FL
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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