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Organization

FORSYTH MEMORIAL HOSPITAL, INC

Active
Other names
West Forsyth Internal Medicine & Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
SHALA DAVIS (RCS MANAGER)
(704) 303-7517
Entity
Organization

Contact information

Practice address
105 STADIUM OAKS DR, CLEMMONS, NC 27012-8962
(336) 766-0547
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician
363A00000X
Physician Assistant

Other

Enumeration date
03/13/2007
Last updated
07/12/2023
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