# FORSYTH MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Forsyth Endocrine Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659339554
- **Authorized official:** LEEA JEANINE WALTON (RCS MANAGER)
- **Authorized official phone:** (704) 316-6081

## Contact information

- **Practice address:** 755 HIGHLAND OAKS DR, SUITE 201, WINSTON SALEM, NC 27103-7106
- **Practice address phone:** (336) 765-0020
- **Practice address fax:** (336) 765-0581
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (704) 384-9144
- **Mailing address fax:** (704) 417-1043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89015YN | — | NC |
| 01 | — | CA1315 | RAILROAD MEDICARE | NC |