Individual
EDWIN CARROLL FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
105462
FL
207P00000X
Emergency Medicine Physician
27504
MS
207P00000X
Emergency Medicine Physician
63327
GA
207P00000X
Emergency Medicine Physician
Primary
MD.205243
LA
207P00000X
Emergency Medicine Physician
MD2010-0284
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07102052
—
MS
05
—
2194291
—
LA
Enumeration date
05/29/2007
Last updated
05/27/2020
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