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Organization

FORSYTH MEMORIAL HOSPITAL INC

Active
Other names
Novant Health Yadkin Medical Associates
Organization subpart
No

Provider details

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

Contact information

Practice address
305 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-2661
(336) 679-7056
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 679-2661
(336) 679-7056

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890296E
NC
01
CA1315
RAILROAD MEDICARE
NC
Enumeration date
05/02/2006
Last updated
07/12/2023
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