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NPI Code Detail

MEDICARE: FORSYTH MEMORIAL HOSPITAL INC

MEDICARE: FORSYTH MEMORIAL HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1548584162
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORSYTH MEMORIAL HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 704-384-7606
Fax Number : 336-277-7722
Provider Business Practice Location Address
First Line : 390 SALEM AVE
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27101-5861
Country : US
Telephone Number : 336-721-2375
Fax Number : 336-721-2394
Authorized Official
Title or Position : SVP & COO NOVANT MEDICAL GROUP
Name : KATHRYN LANGFORD
Credential :
Telephone Number : 704-384-7606
Provider Enumeration Date : 03/25/2010
Last Update Date : 04/17/2013

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Directions to “FORSYTH MEMORIAL HOSPITAL INC ” Practice Location

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