Organization
FORSYTH EMERGENCY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN COLLINS M.D. (TREASURER)
(336) 765-9328
Entity
Organization
Contact information
Practice address
3333 SILAS CREEK PKWY, EMERGENCY DEPT., WINSTON-SALEM, NC 27103-3013
(314) 238-5260
(314) 821-1833
Mailing address
PO BOX 75332, CHARLOTTE, NC 28275-0332
(314) 238-5260
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890196C
—
NC
01
—
CN0938
MEDICARE ID TYPE UNSPECIFIED
NC
Enumeration date
12/19/2005
Last updated
10/29/2020
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