Organization
FORSYTH MEMORIAL HOSPTIAL INC
Active
Other names
Novant Health Carolinas Pelvic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP NMG FINANCE)
(336) 277-6080
Entity
Organization
Contact information
Practice address
2010 BALDWIN LN, WINSTON SALEM, NC 27103-5846
(336) 277-6080
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-6080
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2010-00618
NC
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
2010-00618
NC
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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