Individual
NICOLE EMILINE FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
BARBOUR ORTHOPEDICS AND SPORTS MEDICINE, 3240 NORTHEAST EXPRESSWAY SUITE 100, ATLANTA, GA 30341
(404) 480-9330
(404) 480-9330
Mailing address
675 CROSSWINDS CIRCLE, MARIETTA, GA 30008
(423) 580-4743
(770) 455-4065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
72260
GA
390200000X
Student in an Organized Health Care Education/Training Program
165785
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
72260
GA
Other
Enumeration date
06/29/2010
Last updated
04/27/2023
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