Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Urology
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
2010 BALDWIN LANE, WINSTON SALEM, NC 27103
(336) 277-1717
(336) 277-1718
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-1717
(337) 277-1718
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909023
—
NC
Enumeration date
06/11/2007
Last updated
07/12/2023
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