| Forever Foy Pllc | |
|
18161 W 13 Mile Rd Ste C2 Southfield MI 48076-1113 | |
| (248) 731-7414 | |
| (248) 234-6337 |
| Full Name | Forever Foy Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 18161 W 13 Mile Rd Ste C2, Southfield, Michigan |
| Authorized Official Name and Position | Gena L Harrison (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 2487317414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Foy Pllc 18161 W 13 Mile Rd Ste C2 Southfield MI 48076-1113 Ph: (248) 731-7414 | Forever Foy Pllc 18161 W 13 Mile Rd Ste C2 Southfield MI 48076-1113 Ph: (248) 731-7414 |
| NPI Number | 1013760222 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 8224479480 |
|---|---|
| Medicare Enrollment ID | O20240518000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013760222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gena Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532280 PECOS PAC ID: 7618198144 Enrollment ID: I20141024001391 |
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