Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Rheumatology and Arthritis
Organization subpart
No
Provider details
NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization
Contact information
Practice address
1551 WESTBROOK PLAZA DR STE 200, WINSTON SALEM, NC 27103-1355
(336) 896-1477
(336) 759-3652
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 896-1477
(336) 759-3652
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908746
—
NC
Enumeration date
07/26/2007
Last updated
08/17/2021
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