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Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Forsyth Endocrine Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
755 HIGHLAND OAKS DR, SUITE 201, WINSTON SALEM, NC 27103-7106
(336) 765-0020
(336) 765-0581
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-9144
(704) 417-1043
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015YN
—
NC
01
—
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
07/10/2023
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