Organization
FORSYTH MEMORIAL HOSPITAL, INC.
Active
Other names
Novant Health Adult Primary Care Miller Street
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
50 MILLER ST STE G, WINSTON SALEM, NC 27104-4206
(336) 718-1000
(336) 718-1065
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
01/16/2024
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