Healthcare Provider Details

I. General information

NPI: 1568529469
Provider Name (Legal Business Name): G PAUL FORSYTH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 INDUSTRIAL BLVD
DUBLIN GA
31021-2981
US

IV. Provider business mailing address

3941 PARWOOD RD
BLYTHE GA
30805-4004
US

V. Phone/Fax

Practice location:
  • Phone: 478-275-2000
  • Fax:
Mailing address:
  • Phone: 706-592-1543
  • Fax: 706-210-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. G PAUL FORSYTH
Title or Position: PRESIDENT
Credential: MD
Phone: 706-210-9990