Individual
MR. JAMES CORNELIUS FORGEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
SYDNEY AND LAMONT STREETS, VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
447 CRIPPLE CREEK LOOP, WATAUGA, TN 37694-3140
(423) 543-5224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1625
TN
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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