Organization
FORSYTH CARDIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN W CAGLE (CHIEF QUALITY AND RISK OFFICER)
(336) 802-2406
Entity
Organization
Contact information
Practice address
3073 TRENWEST DR, WINSTON-SALEM, NC 27103-3207
(336) 768-0437
(336) 768-0433
Mailing address
3073 TRENWEST DR, WINSTON SALEM, NC 27103-3207
(336) 768-0437
(336) 768-0433
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01554
BCNC
NC
01
—
4648908
AETNA
NC
05
—
8901554
—
NC
01
—
CI0194
RAILROAD MEDICARE
NC
Enumeration date
04/27/2006
Last updated
07/08/2008
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