Individual
MARY REBECCA FORGACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1565 PURDUE DR, SUITE 301, FAYETTEVILLE, NC 28303-5413
(910) 483-8586
(910) 483-9212
Mailing address
1565 PURDUE DR, SUITE 301, FAYETTEVILLE, NC 28303-5413
(910) 483-8586
(910) 483-9212
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-02139
NC
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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