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SYMPHONY DESERAY FORMAN
NPI 1457242257
Technician, Pathology - Phlebotomy in Marietta, GA

Active since July 10, 2025
109 ANDERSON ST SE STE 100C, MARIETTA, GA 30060(770) 765-9472(770) 800-8147 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 18, 2025, Sep 5, 2025, Jul 10, 2025 (3 updates tracked since 2025).

About Symphony Deseray Forman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYMPHONY DESERAY FORMAN (NPI 1457242257) is an individual phlebotomy provider in Marietta, Georgia and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1457242257
Entity TypeIndividualFemale
Primary Taxonomy246RP1900X
Provider Legal NameSYMPHONY DESERAY FORMAN
Location Address109 ANDERSON ST SE STE 100CMarietta, GA 30060-8610
Mailing Address83 Cohran Lake CtDouglasville, GA 30134-7213 · (770) 765-9472
Phone(770) 765-9472
Fax(770) 800-8147
Sole ProprietorYes
Enumeration DateJuly 10, 2025
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1457242257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
109 ANDERSON ST SE STE 100C, Marietta, GA 30060
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORMAN LAB & SCREENING SERVICES
Technician, Pathology (Phlebotomy)
109 ANDERSON ST SE STE 100C
MARIETTA, GA 30060
Cobb County (770) 765-9472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Symphony Forman's NPI number?

The NPI number for Symphony Forman is 1457242257. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Symphony Forman located?

Symphony Forman practices at 109 Anderson St SE Ste 100C, Marietta, GA 30060. The listed phone number is (770) 765-9472.

What is Symphony Forman's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Symphony Forman was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.