Individual
MR. JEFFREY ANDREW FORBRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
545 OLD NORCROSS RD, SUITE 300, LAWRENCEVILLE, GA 30046-3389
(678) 541-0777
Mailing address
545 OLD NORCROSS RD, SUITE 300, LAWRENCEVILLE, GA 30046-3389
(678) 541-0777
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN212023
GA
363L00000X
Nurse Practitioner
Primary
RN212023
GA
Other
Enumeration date
12/18/2013
Last updated
11/10/2014
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