Organization
FORSYTH MEMORIAL HOSPITAL, INC.
Active
Other names
NH Bermuda Run Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (MANGER RCS)
(704) 316-7845
Entity
Organization
Contact information
Practice address
5380 US HIGHWAY 158 STE 110, ADVANCE, NC 27006-6974
(336) 893-3210
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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