Individual
DR. ROBERT ALAN FORINASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 3RD AVE, GASTONIA, NC 28052-4343
(704) 874-3300
(704) 874-0065
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 867-2134
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
200200353
NC
2084P0802X
Addiction Psychiatry Physician
200200353
NC
208D00000X
General Practice Physician
Primary
200200353
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356K
BLUE CROSS BS OF NC PIN
NC
01
—
200200353
NORTH CAROLINA MEDICAL BOARD
NC
01
—
562211430
TRICARE NORTH
NC
05
—
891356K
—
NC
Enumeration date
12/12/2006
Last updated
10/21/2019
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