# FORSYTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Femwell Gynecology and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407669997
- **Authorized official:** JODY MORRIS (VP OPS & NEW DEVELOPMENT)
- **Authorized official phone:** (919) 497-8401

## Contact information

- **Practice address:** 7006 SHANNON WILLOW RD STE A, CHARLOTTE, NC 28226-1318
- **Practice address phone:** (980) 960-0526
- **Mailing address:** 2085 FRONTIS PLAZA BLVD FL 3, WINSTON SALEM, NC 27103-5614
- **Mailing address phone:** (336) 277-8755
- **Mailing address fax:** (336) 277-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 12/12/2025
