O'shane Lemar Forsythe

NPI #1174174155 in Winston Salem, North Carolina

Provider Information

NPI Number: 1174174155
Entity Type: Individual
Name: O'shane Lemar Forsythe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Sep 22, 2019
Last Updated: Sep 22, 2019

Practice Location

Address: 3519 CHELSEA MANOR DR
City: Winston Salem
State: North Carolina
ZIP Code: 27103-1585
Phone: (336) 501-4085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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