# FORSYTH FAMILY PRACTICE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629030259
- **Authorized official:** DR. MELVIN KENNETH MORGAN II MD (PRESIDENT FORSYTH FAMILY PRACTICE P)
- **Authorized official phone:** (336) 768-9515

## Contact information

- **Practice address:** 400 JONESTOWN RD, WINSTON SALEM, NC 27104-4623
- **Practice address phone:** (336) 768-9515
- **Practice address fax:** (336) 768-9082
- **Mailing address:** 400 JONESTOWN RD, WINSTON SALEM, NC 27104-4623
- **Mailing address phone:** (336) 768-9515
- **Mailing address fax:** (336) 768-9082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25935 | NC | Yes |
| 207Q00000X | Family Medicine Physician | 31076 | NC | — |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8902181 | — | NC |
| 05 | — | 8960745 | — | NC |
| 05 | — | 8978834 | — | NC |