# FORSYTH MEMORIAL HOSPITAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548228471
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 903 RANDOLPH ST, THOMASVILLE, NC 27360-5898
- **Practice address phone:** (336) 475-7163
- **Practice address fax:** (336) 475-1199
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (704) 384-7606
- **Mailing address fax:** (336) 277-7722

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 07/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0151N | BLUECROSS BLUESHIELD | NC |
| 01 | — | 603 | BLUE MEDICARE | NC |
| 05 | — | 89015YU | — | NC |
| 01 | — | CA1315 | RAILROAD MEDICARE | NC |