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Organization

FORSYTH MEMORIAL HOSPITAL INC

Active
Other names
Novant Health Forsyth Endocrine Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(704) 316-6081
Entity
Organization

Contact information

Practice address
755 HIGHLAND OAKS DR, SUITE 201, WINSTON SALEM, NC 27103-7106
(336) 765-0020
(336) 765-0581
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(704) 384-9144
(704) 417-1043

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89015YN
NC
01
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
07/10/2023
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