Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Forsyth Heart and Wellness, Novant Health Heart and Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization
Contact information
Practice address
2025 FRONTIS PLAZA BLVD STE 100, WINSTON SALEM, NC 27103-5663
(336) 718-6199
(336) 718-6190
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-6199
(336) 718-6190
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919231
—
NC
Enumeration date
06/17/2011
Last updated
07/29/2024
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