# FORSYTH MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Arcadia Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427006451
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 12208 N NC HIGHWAY 150, WINSTON SALEM, NC 27127-9730
- **Practice address phone:** (336) 764-2324
- **Practice address fax:** (336) 764-9541
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (336) 764-2324
- **Mailing address fax:** (336) 764-9541

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 07/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01126 | BLUECROSS BLUESHIELD | NC |
| 01 | — | 2688 | BLUE MEDICARE | NC |
| 05 | — | 6901126 | — | NC |
| 01 | — | CA1315 | RAILROAD MEDICARE | NC |