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Organization

FORSYTH COUNTY NORTH CAROLINA

Active
Parent organization
FORSYTH COUNTY NORTH CAROLINA
Other names
Forsyth Co. HD-CAPC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FORSYTH COUNTY NORTH CAROLINA
Authorized official
MR. MARLON B HUNTER (HEALTH DIRECTOR)
(336) 703-3099
Entity
Organization

Contact information

Practice address
799 HIGHLAND AVE, WINSTON SALEM, NC 27101-4206
(336) 703-3117
(336) 727-8062
Mailing address
PO BOX 686, WINSTON SALEM, NC 27102-0686
(336) 703-3117
(336) 727-8062

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
261QP0905X
State or Local Public Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408318
NC
Enumeration date
01/23/2007
Last updated
03/25/2013
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