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General NPI Number Information
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NPI Number | 1508898222
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Entity Type | Individual
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Provider Name | FORREST RAY DOLLY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 1607 SAINT JAMES CT STE 2
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5352
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Country | US
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Telephone | 850-878-8714
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Fax | 850-878-2464
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Provider Business Mailing Address
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Address Line | 1607 SAINT JAMES CT STE 2
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5352
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Country | US
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Telephone | 850-878-8714
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Fax | 850-878-2464
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME0039161
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME0039161
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License Number State | FL
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