Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Triad Endocrine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
500 PINEVIEW DR, SUITE 101, KERNERSVILLE, NC 27284-3813
(336) 992-1351
(336) 992-1361
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 992-1351
(336) 992-1361
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
07/12/2023
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