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
1730 KERNERSVILLE MEDICAL PKWY STE 303, KERNERSVILLE, NC 27284-7198
(336) 564-4430
(336) 993-0826
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
07/12/2023
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