Forrester, Michelle
Forrester, Michelle is an individual health care provider with primary practice located at 1730 Lawrenceville Suwanee Rd , Lawrenceville GA 30043-3507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Forrester, Michelle can be contacted via phone (770) 338-0089.Contact Information
Primary practice address
1730 Lawrenceville Suwanee Rd
Lawrenceville GA 30043-3507
Phone: (770) 338-0089
Fax: (770) 338-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2052 | Georgia |
Profile Details
| NPI number | 1205140613 |
|---|---|
| LBN Legal business name | Forrester, Michelle |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2010 |
| Last updated | Jul 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205140613 | NPPES |
| Georgia | Other | 2052 | STATE LICENSE |
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