Organization
FORSYTH MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SCOTT JOHNSON (PRESIDENT)
(336) 768-5512
Entity
Organization
Contact information
Practice address
3041 TRENWEST DR, WINSTON SALEM, NC 27103-3207
(336) 768-5512
(336) 768-5813
Mailing address
3041 TRENWEST DR, WINSTON SALEM, NC 27103-3207
(336) 768-5512
(336) 768-5813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750381695
MEDICARE NSC
NC
Enumeration date
07/21/2005
Last updated
07/21/2022
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