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Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Lexington Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
110 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 248-8692
(336) 249-7348
Mailing address
P.O. 751803, FORSYTH MEMORIAL HOSPITAL INC, CHARLOTTE, NC 28275-1803
(704) 384-9144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909121
—
NC
Enumeration date
04/12/2011
Last updated
08/16/2021
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