Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Surry Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFERY GARDNER (VP OF FINANCE)
(336) 719-0398
Entity
Organization
Contact information
Practice address
2133 ROCKFORD ST, SUITE 1400, MOUNT AIRY, NC 27030-6587
(336) 719-0398
(336) 719-0494
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 719-0398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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