Provider Demographics
NPI:1114036076
Name:TOCA, FORREST MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:FORREST
Middle Name:MICHAEL
Last Name:TOCA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3915
Mailing Address - Country:US
Mailing Address - Phone:404-874-1788
Mailing Address - Fax:404-872-4589
Practice Address - Street 1:999 PEACHTREE ST NE
Practice Address - Street 2:SUITE 850
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3915
Practice Address - Country:US
Practice Address - Phone:404-874-1788
Practice Address - Fax:404-872-4589
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422164207RC0000X
GA059778207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA06CBCB2Medicaid
GA06CBCB2Medicaid