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Individual

DOUGLAS J. FORRESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6711
(803) 329-5120
Mailing address
PO BOX 2974, ROCK HILL, SC 29732-4974
(803) 985-4551
(803) 985-4543

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22168
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A9376
MEDCOST
05
Q00955
SC
Enumeration date
10/17/2005
Last updated
06/23/2011
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