LISE WENDY FORESTAL


Address: 3780 Eisenhower Parkway, Macon, GA 31206
Phone: 4786335560

LISE WENDY FORESTAL (NPI# 1104453711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104453711
Entity Type Individual
Full Name LISE WENDY FORESTAL
Credential MD
Practice Address 3780 Eisenhower Parkway
Macon
GA 31206
Practice Telephone 4786335560
Mailing Telephone 4786335560
Enumeration Date 2020-03-24
Last Update Date 2020-03-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3780 EISENHOWER PARKWAY
City MACON
State GA
Zip Code 31206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992267892 Andel Anthony Higgins Family Medicine 3780 Eisenhower Parkway, Macon, GA 31206 2019-04-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437651924 Amanda Mckenzie Clinic/Center Us Renal Care 657 Hemlock Street, Macon, GA 31206 2018-03-01
1003337718 Shantha Tyhessia Jones Home Health 2453 Shea Drive, Macon, GA 31206 2017-07-03
1043683527 Autumn Anderson Lucas Nurse Practitioner 100 University Parkway, Macon, GA 31206 2015-11-05
1306273651 Monique Whipple Speech-Language Pathologist 164 Summer Grove Lane, Macon, GA 31206 2013-10-02
1710956750 Total Renal Care Inc Clinic/Center 2494 2nd St, Macon, GA 31206 2006-03-14
1396710828 Ruth Macphie Hagemann Counselor 100 University Pkwy, Macon, GA 31206 2006-02-20
1609861129 Rickey Harton Jr. Optometrist 3353 Mercer University Drive, Macon, GA 31206 2005-09-12
1346702172 Alayna Dukes Family Medicine 3780 Eisenhower Pkwy, Macon, GA 31206 2019-04-01
1407318215 Philomise Moncion Family Medicine 3780 Eisenhower Pkwy, Macon, GA 31206 2019-04-01
1316470594 Merlyn J Kaalla Family Medicine 3780 Eisenhower Pkwy, Macon, GA 31206 2017-04-05
Find all providers in zip 31206

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760005664 Jackson Rodgers Student in an Organized Health Care Education/Training Program 5a Whispering Pines Ct, Macon, IL 62544-7218 2020-05-26
1548882780 Lauren Elizabeth Lewis Student in an Organized Health Care Education/Training Program 790 1st St, Macon, GA 31201-6874 2020-05-11
1639708654 Nehal Ninad Student in an Organized Health Care Education/Training Program 777 Hemlock Street Ln, Macon, GA 31201-2168 2020-04-02
1346878279 Albarra Younis Student in an Organized Health Care Education/Training Program 6445 Stapleton Rd, Macon, GA 31216-5234 2020-03-27
1396372496 Joseph Martin Roberts Student in an Organized Health Care Education/Training Program 777 Hemlock Street Ln # 42, Macon, GA 31201-2168 2020-03-26
1336775204 Christopher Robin Denham Student in an Organized Health Care Education/Training Program 380 Hospital Dr Bldg A, Macon, GA 31217-8001 2020-03-23
1144852856 Rachel Kathryn Albrecht Student in an Organized Health Care Education/Training Program 1500 College St, Macon, GA 31207-1500 2020-02-11
1710519616 Elisha Scott Student in an Organized Health Care Education/Training Program 1345 Hardeman Ave Apt 415a, Macon, GA 31201-4403 2020-02-08
1871125179 Aaron Daniel Brown Student in an Organized Health Care Education/Training Program 804 Locust St, Macon, MO 63552-1846 2020-02-05
1316593262 Nicole Theresia Mette Student in an Organized Health Care Education/Training Program 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 2019-08-16
Find all providers in MACON

Competitor

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City MACON
Zip Code 31206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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