NPI
Angelique Stacey Ann Forrester
NPI 1053831149
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2017-06-21
- Last updated
- 2026-02-23
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Specialties
Licenses
- License FL
- me142708
Location
- Practice location
- 420 Polifka Dr Bldg 1042
- City
- Shaw Afb SC
- Postal code
- 29152-5100
- Phone
- (038) 956-2458
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Shaw Afb, SC. 94 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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