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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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1659718534
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 : 704-384-7840
Fax Number :
Provider Business Practice Location Address
First Line : 6915 VILLAGE MEDICAL CIR
Second Line :
City : CLEMMONS
State : NC
Zip : 27012-8002
Country : US
Telephone Number : 336-718-1680
Fax Number : 336-718-1681
Authorized Official
Title or Position : RCS MANAGER
Name : LEEA JEANINE WALTON
Credential :
Telephone Number : 704-316-6081
Provider Enumeration Date : 05/31/2013
Last Update Date : 07/11/2023

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Directions to “FORSYTH MEMORIAL HOSPITAL INC ” Practice Location

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