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Organization
FORSYTH MEMORIAL HOSPITAL, INC.
Active
Organization
FORSYTH MEMORIAL HOSPITAL, INC.
Active
Other names
NH Bermuda Run Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANGER RCS)
(704) 316-7845
Entity
Organization
Contact information
Practice address
5380 US HIGHWAY 158 STE 110, ADVANCE, NC 27006-6974
(336) 893-3210
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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