Organization
FORSYTH MEMORIAL HOSPITAL, INC
Active
Parent organization
FORSYTH MEMORIAL HOSPITAL, INC
Other names
Friedburg Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORSYTH MEMORIAL HOSPITAL, INC
Authorized official
MICHELE GRIER (VP OPERATIONS)
(336) 788-4664
Entity
Organization
Contact information
Practice address
5010 PETERS CREEK PKWY, DBA FRIEDBURG FAMILY MEDICINE, WINSTON SALEM, NC 27127-7276
(336) 788-4664
(336) 788-0753
Mailing address
2000 FRONTIS PLAZA BLVD STE 102, FORSYTH MEDICAL GROUP, LLC, WINSTON SALEM, NC 27103-5616
(336) 788-4664
(336) 788-0753
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
01
—
019C9
BCBS PIN
NC
05
—
5906033
—
NC
Enumeration date
01/23/2007
Last updated
08/14/2008
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