Individual
MR. JOSEPH - FORTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-7921
Mailing address
108 RAGIN DR, HOPKINS, SC 29061-9608
(803) 647-7807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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