Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Infectious Disease Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
1381 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2934
(336) 718-0440
(336) 718-0441
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-0440
(336) 718-0441
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906950
—
NC
Enumeration date
01/08/2007
Last updated
07/11/2023
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