Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Pilot Mountain Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GRIER (VP OPERATIONS)
(336) 368-5011
Entity
Organization
Contact information
Practice address
207 MEDICAL STREET, DBA PILOT MOUNTAIN FAMILY PRACTICE, PILOT MOUNTAIN, NC 27041-8656
(336) 368-5011
(336) 368-1424
Mailing address
2000 FRONTIS PLAZA BLVD STE 102, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 368-5011
(336) 368-1424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890239J
—
NC
Enumeration date
03/26/2007
Last updated
08/14/2008
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