Forche, Nadine G

Forche, Nadine G is an individual health care provider with primary practice located at 698 S Milledge Ave , Athens GA 30605-1251. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Forche, Nadine G can be contacted via phone (706) 543-2020.

Contact Information

Primary practice address
698 S Milledge Ave Athens GA 30605-1251
Phone: (706) 543-2020
Fax: (706) 549-6618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA1739 Georgia

Profile Details

NPI number 1871597864
LBN Legal business name Forche, Nadine G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 24th, 2012 - about 14 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 1871597864 NPPES
Georgia MEDICAID 000831388A
Georgia Other 667221
Georgia Other 582102247

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