Organization
JAMES S FORRESTER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S FORRESTER MD, PA (OWNER)
(704) 263-4716
Entity
Organization
Contact information
Practice address
510 S HIGHWAY 27, STANLEY, NC 28164-2056
(704) 263-4716
(704) 263-8169
Mailing address
PO BOX 459, STANLEY, NC 28164-0459
(704) 263-4716
(704) 263-8169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13442
NC
207Q00000X
Family Medicine Physician
28091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336126770
NPI
NC
01
—
1407833957
NPI
NC
05
—
5901947
—
NC
Enumeration date
04/28/2006
Last updated
04/16/2008
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