Larry E. Forth O.d.p.c.

NPI #1316065725 in Douglas, Georgia

Provider Information

NPI Number
1316065725
Entity Type
Organization
Organization Name
Larry E. Forth O.d.p.c.
Primary Specialty
Optometrist
Enumeration Date
Mar 26, 2007
Last Updated
Jun 17, 2008

Practice Location

Address
200 DOCTORS DRIVE
Address 2
SUITE 105
State
Georgia
ZIP Code
31533
Phone
(912) 384-1840

Authorized Official

Name
DR. LARRY E FORTH
Title
OPTOMETRIST
Phone
(912) 384-1840

Specialties & Taxonomy Codes

Specialty
Optometrist

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