# FORSYTH MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Novant Health Lexington Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720378615
- **Authorized official:** SHALA DAVIS (RCS MANAGER)
- **Authorized official phone:** (704) 303-7517

## Contact information

- **Practice address:** 110 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
- **Practice address phone:** (336) 248-8692
- **Practice address fax:** (336) 249-7348
- **Mailing address:** P.O. 751803, FORSYTH MEMORIAL HOSPITAL INC, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (704) 384-9144

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 08/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5909121 | — | NC |