Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Other names
Novant Health Thomasville Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
309 PINEYWOOD RD, THOMASVILLE, NC 27360-3438
(336) 475-8121
(336) 475-5377
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 475-8121
(336) 475-5377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015KC
—
NC
01
—
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/04/2006
Last updated
07/12/2023
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