Individual
MR. CYRIL ABA FORCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6654
Mailing address
1400 LYNN MARIE WAY APT#1437, SPARTANBURG, SC 29301
(336) 259-0023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22495
SC
363LF0000X
Family Nurse Practitioner
Primary
22495
SC
363LF0000X
Family Nurse Practitioner
5015851
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5713
—
SC
01
—
SCE4376067
MEDICARE PIN
SC
01
—
SCE4376084
MEDICARE PIN
SC
01
—
SCE437J577
MEDICARE PIN
SC
Enumeration date
01/10/2019
Last updated
04/21/2022
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