Provider Demographics
NPI:1477892875
Name:FORBES, ABNNAH BEN NER (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ABNNAH
Middle Name:BEN NER
Last Name:FORBES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6318 FOGGY OAK DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4675
Mailing Address - Country:US
Mailing Address - Phone:404-216-7081
Mailing Address - Fax:
Practice Address - Street 1:901 RICE ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-4938
Practice Address - Country:US
Practice Address - Phone:404-613-2097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3247363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical