Mark Joseph Forster O.D.

NPI 1184620114 - Optometrist - 152W00000X

NPI Details
NPI 1184620114
Gender Male
Enumeration Date 06/23/2005
Last Updated 02/19/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
725 WALTHER RD
BUILDING 100
LAWRENCEVILLE GA, 30045-8725, US
Phone (770) 513-3300
Fax (770) 513-3350
Business Location
725 WALTHER RD
BUILDING 100
LAWRENCEVILLE GA, 30045-8725, US
Phone (770) 513-3300
Fax (770) 513-3350
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 001383T
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According to our database, Dr. Mark Joseph Forster O.D. NPI is 1184620114, taxonomy code is 152W00000X and license number is 001383T, license state is located at Georgia. Mark Joseph Forster O.D. physically located at 725 Walther Rd, Lawrenceville GA, 30045-8725. NPI Number Mark Joseph Forster O.D. has the Individual type.

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1184620114 NPI number is provided on an as is basis without warranty of any kind. 1184620114 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Joseph Forster O.D. are for informational purposes only.