Individual provider · Type 1 NPI

O'Shane Lemar Forsythe

Driver · Winston Salem, NC

NPI number 1174174155 Active

Practice location

3519 Chelsea Manor Dr
Winston Salem, NC 27103-1585

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X000030993837 (NC)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1174174155

O'Shane Lemar Forsythe's National Provider Identifier is 1174174155, issued on Sep 22, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 22, 2019.