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Organization

FORSYTH MEMORIAL HOSPITAL INC

Active
Other names
Novant Health Winston-Salem Health Care
Organization subpart
No

Provider details

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

Contact information

Practice address
250 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1508
(336) 718-1000
(336) 718-1052
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1000
(336) 718-1052

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
207R00000X
Internal Medicine Physician
Primary
207VG0400X
Gynecology Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
2085R0202X
Diagnostic Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
590118P
NC
01
CA1315
RR MEDICARE
NC
Enumeration date
12/04/2008
Last updated
07/12/2023
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