Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Parent organization
FORSYTH MEMORIAL HOSPITAL, INC
Other names
Piedmont Medical Specialist (PCP)
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, DBA PIEDMONT MEDICAL SPECIALIST - PCP, WINSTON SALEM, NC 27103-2934
(336) 718-0480
(336) 718-0484
Mailing address
2000 FRONTIS PLAZA BLVD STE 102, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167Y
BCBS PIN - PCP
NC
01
—
CA1315
RAILROAD MEDICARE
NC
Enumeration date
11/13/2007
Last updated
08/14/2008
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