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Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Surry Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFERY GARDNER (VP OF FINANCE)
(336) 719-0398
Entity
Organization
Contact information
Practice address
2133 ROCKFORD ST, SUITE 1400, MOUNT AIRY, NC 27030-6587
(336) 719-0398
(336) 719-0494
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 719-0398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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