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Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health North Point Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1995 BETHABARA RD, WINSTON SALEM, NC 27106-3375
(336) 759-7596
(336) 759-3652
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-9144
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
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019C8
BLUECROSS BLUESHIELD
NC
05
—
890222V
—
NC
01
—
CA1315
RAILROAD MEDICARE
NC
01
—
J970
BLUE MEDICARE
NC
Enumeration date
03/13/2007
Last updated
07/11/2023
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