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Organization

FORSYTH MEMORIAL HOSPITAL, INC

Active
Other names
Novant Health Walkertown Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
GEOFFREY K GARDNER (VP FINACE)
(704) 384-9144
Entity
Organization

Contact information

Practice address
2800 DARROW RD, WALKERTOWN, NC 27051-9206
(336) 595-3699
(336) 595-3193
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 595-3699
(336) 595-3193

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890218L
NC
01
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
11/29/2013
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