# FORSYTH MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962869420
- **Authorized official:** GEOFFREY K GARDNER (VP OF FINANCE)
- **Authorized official phone:** (704) 384-7204

## Contact information

- **Practice address:** 3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
- **Practice address phone:** (336) 718-5763
- **Practice address fax:** (336) 718-9861
- **Mailing address:** PO BOX 751803, CHARLOTTE, NC 28275-1803
- **Mailing address phone:** (336) 718-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NC | Yes |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 02/04/2019