Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Parent organization
FORSYTH MEMORIAL HOSPITAL, INC
Other names
Piedmont Medical Specialist
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORSYTH MEMORIAL HOSPITAL, INC
Authorized official
MICHELE GRIER (VP OPERATIONS)
(336) 718-0480
Entity
Organization
Contact information
Practice address
1381 WESTGATE CENTER DR, PIEDMONT MEDICAL SPECIALIST, WINSTON SALEM, NC 27103-2934
(336) 718-0480
(336) 718-0484
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 718-0480
(336) 718-0484
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890167Y
—
NC
01
—
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
08/14/2008
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