# FORSYTH MEMORIAL HOSPITAL INC

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

## Provider details

- **NPI number:** 1548584162
- **Authorized official:** KATHRYN LANGFORD (SVP & COO NOVANT MEDICAL GROUP)
- **Authorized official phone:** (704) 384-7606

## Contact information

- **Practice address:** 390 SALEM AVE, WINSTON SALEM, NC 27101-5861
- **Practice address phone:** (336) 721-2375
- **Practice address fax:** (336) 721-2394
- **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:** 03/25/2010
- **Last updated:** 04/17/2013