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Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Parent organization
FORSYTH MEMORIAL HOSPITAL, INC
Other names
Medical Associates of Surry
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORSYTH MEMORIAL HOSPITAL, INC
Authorized official
JEFFERY LINDSAY (PRESIDENT OF FMC)
(336) 718-2056
Entity
Organization
Contact information
Practice address
865 W LAKE DR, MOUNT AIRY, NC 27030-2157
(336) 719-6100
(336) 719-2313
Mailing address
1718 E 4TH ST, SUITE 902, CHARLOTTE, NC 28204-3261
(336) 719-6100
(336) 719-2313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902732
—
NC
01
—
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
08/24/2010
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