# FORSYTH MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Wellness Clinic Kernersville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659724128
- **Authorized official:** MR. GEOFFREY KEITH GARDNER (VP FINANCE)
- **Authorized official phone:** (704) 384-7603

## Contact information

- **Practice address:** 1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7146
- **Practice address phone:** (336) 564-4000
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (704) 384-7840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 11/01/2016