Individual
DR. NADINE G FORCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
698 S MILLEDGE AVE, ATHENS, GA 30605-1251
(706) 543-2020
(706) 549-6618
Mailing address
698 S MILLEDGE AVE, ATHENS, GA 30605-1251
(706) 543-2020
(706) 549-6618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1739
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000831388A
—
GA
01
—
582102247
COMMERCIAL
GA
01
—
667221
BCBS-GA
GA
Enumeration date
06/08/2005
Last updated
07/24/2012
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