Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
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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