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Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Parent organization
FORSYTH MEMORIAL HOSPITAL, INC
Other names
Medical Associates of Davie - Hillsdale
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORSYTH MEMORIAL HOSPITAL, INC
Authorized official
MICHELE GRIER (VP OPERATIONS)
(336) 277-2421
Entity
Organization
Contact information
Practice address
121 MEDICAL DR, DBA MEDICAL ASSOCIATES OF DAVIE - HILLSDALE, ADVANCE, NC 27006-6651
(336) 998-9060
(336) 998-9061
Mailing address
2000 FRONTIS PLAZA BLVD STE 102, NOVANT MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02054
BCBS GRP ID#
NC
05
—
7902054
—
NC
Enumeration date
01/23/2008
Last updated
01/23/2008
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