Dlugos, Dina Forsthoffer

Dlugos, Dina Forsthoffer is an individual health care provider with primary practice located at 3400 Mcclure Bridge Rd B201, Duluth GA 30096-6675. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Dlugos, Dina Forsthoffer can be contacted via phone (678) 957-8801.

Contact Information

Primary practice address
3400 Mcclure Bridge Rd B201 Duluth GA 30096-6675
Phone: (678) 957-8801
Fax: (678) 957-8804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003394 Georgia

Profile Details

NPI number 1851373740
LBN Legal business name Dlugos, Dina Forsthoffer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 3rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851373740 NPPES
Georgia MEDICAID 754463940A

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