Healthcare Provider Details

I. General information

NPI: 1679542807
Provider Name (Legal Business Name): ALAN GRAY FORSHEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 W 1ST ST
NEWTON NC
28658-4238
US

IV. Provider business mailing address

5624 37TH STREET DR NE
HICKORY NC
28601-7026
US

V. Phone/Fax

Practice location:
  • Phone: 828-465-3928
  • Fax: 828-465-3118
Mailing address:
  • Phone: 828-244-3929
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26103
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: