MEDICARE: NATALIE FORSBERG INABNETT PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2359	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598148744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE FORSBERG INABNETT PA-C

Provider Business Mailing Address
First Line	:	2001 2ND AVE STE 101
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29486-7887
Country	:	US
Telephone Number	:	843-793-5182
Fax Number	:	843-266-5125

Provider Business Practice Location Address
First Line	:	2001 2ND AVE STE 101
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29486-7887
Country	:	US
Telephone Number	:	843-722-8000
Fax Number	:	843-647-6066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2015
Last Update Date	:	05/07/2020

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