Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Forsyth Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6087
Entity
Organization
Contact information
Practice address
1381 WESTGATE CENTER DR, WINSTON-SALEM, NC 27103-2934
(336) 718-0100
(336) 718-0120
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-7606
(336) 277-7722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01531
BCBD ID#
NC
01
—
2330
PARTNERS ID#
NC
01
—
5425016
AETNA ID#
NC
05
—
6901531
—
NC
01
—
CA1315
RAILROAD MCR ID#
NC
Enumeration date
05/04/2006
Last updated
07/10/2023
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