# FORSYTH MEMORIAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Easy Care Hillsdale Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013346741
- **Authorized official:** GEOFFREY K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-7606

## Contact information

- **Practice address:** 121 MEDICAL DR, ADVANCE, NC 27006-6651
- **Practice address phone:** (336) 998-9060
- **Practice address fax:** (336) 998-9061
- **Mailing address:** PO BOX 60447, CHARLOTTE, NC 28260-0447
- **Mailing address phone:** (336) 998-9060
- **Mailing address fax:** (336) 998-9061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2013
- **Last updated:** 01/09/2014