Organization
FORSYTH PSYCHIATRIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEIQING YUAN (MEDICAL DIRECTOR)
(336) 660-6000
Entity
Organization
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD STE 209, CLEMMONS, NC 27012-8749
(336) 660-6000
Mailing address
2554 LEWISVILLE CLEMMONS RD, SUITE 209, CLEMMONS, NC 27012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-01825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700152915
PSYCHIATRY
—
05
—
1700152915
—
NC
Enumeration date
05/15/2017
Last updated
08/05/2017
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