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Organization

MARY J. FORBES, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JOAN FORBES M.D. (PHYSICIAN/OWNER)
(919) 616-6499
Entity
Organization

Contact information

Practice address
4301 LAKE BOONE TRL, STE 208, RALEIGH, NC 27607-7507
(919) 616-6499
Mailing address
4301 LAKE BOONE TRL, STE. 208, RALEIGH, NC 27607-7507
(919) 616-6499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500904
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174509400
INDIVIDUAL NPI
NC
Enumeration date
01/10/2014
Last updated
01/10/2014
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