Individual
BIANCA ALEXANDRA FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-4656
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
24728
SC
363LW0102X
Women's Health Nurse Practitioner
Primary
GAA-NP001541
GA
Other
Enumeration date
03/02/2021
Last updated
12/14/2023
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