Organization
FORSYTH MEMORIAL HOSPITAL INC
Active
Other names
Novant Health Cancer Prevention and Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY K GARDNER (VP NMG FINANCE)
(336) 277-8800
Entity
Organization
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 277-8800
(336) 277-6001
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-6000
(336) 277-6001
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NC
363A00000X
Physician Assistant
100354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17608533113
—
NC
Enumeration date
10/12/2015
Last updated
12/24/2015
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