Healthcare Provider Details

I. General information

NPI: 1588799811
Provider Name (Legal Business Name): FORSYTH MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 OLD LEXINGTON RD DBA INPATIENT PHYSICIANS OF DAVIDSON
THOMASVILLE NC
27360-3428
US

IV. Provider business mailing address

2000 FRONTIS PLAZA BLVD STE 200 FORSYTH MEDICAL GROUP
WINSTON SALEM NC
27103-5616
US

V. Phone/Fax

Practice location:
  • Phone: 336-472-2000
  • Fax:
Mailing address:
  • Phone: 336-277-2435
  • Fax: 336-277-9275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LYNN B. EVERHART
Title or Position: DIRECTOR
Credential:
Phone: 336-277-2433