| Mary J. Forbes, Md, Pllc | |
|
4301 Lake Boone Trl Ste 208 Raleigh NC 27607-7507 | |
| (919) 616-6499 | |
| Not Available |
| Full Name | Mary J. Forbes, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4301 Lake Boone Trl, Raleigh, North Carolina |
| Authorized Official Name and Position | Mary Joan Forbes (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9196166499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary J. Forbes, Md, Pllc 4301 Lake Boone Trl Ste. 208 Raleigh NC 27607-7507 Ph: (919) 616-6499 | Mary J. Forbes, Md, Pllc 4301 Lake Boone Trl Ste 208 Raleigh NC 27607-7507 Ph: (919) 616-6499 |
| NPI Number | 1518389550 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 01/10/2014 |
| Medicare PECOS PAC ID | 0345473898 |
|---|---|
| Medicare Enrollment ID | O20140507001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518389550 | NPI | - | NPPES |
| 1174509400 | Other | NC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9500904 (North Carolina) | Primary |
| Provider Name | Mary J Forbes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174509400 PECOS PAC ID: 4688646045 Enrollment ID: I20040806001229 |
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