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Organization

FORSYTH MEMORIAL HOSPITAL, INC

Active
Other names
Novant Health Woud Care, Novant Health Wound Care
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
1710 KERNERSVILLE MEDICAL PKWY STE 220, KERNERSVILLE, NC 27284-7156
(336) 564-4360
(336) 564-4947
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1440

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RI0200X
Infectious Disease Physician
Primary
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
2086S0129X
Vascular Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000496
NC
Enumeration date
05/16/2006
Last updated
07/12/2023
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