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Organization

FORSYTH MEMORIAL HOSPITAL, INC

Active
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Organization

FORSYTH MEMORIAL HOSPITAL, INC

Active
Parent organization
FORSYTH MEMORIAL HOSPITAL, INC
Other names
Salem Family Practice at Gateway
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
390 SALEM AVENUE, DBA SALEM FAMILY PRACTICE AT GATEWAY, WINSTON-SALEM, NC 27101
(336) 721-2375
(336) 721-2394
Mailing address
2000 FRONTIS PLAZA BLVD STE 102, 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

Enumeration date
02/27/2008
Last updated
02/27/2008
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