# FORSYTH MEMORIAL HOSPTIAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Carolinas Pelvic Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508234402
- **Authorized official:** GEOFFREY K GARDNER (VP NMG FINANCE)
- **Authorized official phone:** (336) 277-6080

## Contact information

- **Practice address:** 2010 BALDWIN LN, WINSTON SALEM, NC 27103-5846
- **Practice address phone:** (336) 277-6080
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (336) 277-6080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2010-00618 | NC | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 2010-00618 | NC | — |

## Other

- **Enumeration date:** 09/09/2015
- **Last updated:** 09/09/2015