Healthcare Provider Details

I. General information

NPI: 1144355116
Provider Name (Legal Business Name): FORSYTH COUNTY NORTH CAROLINA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HIGHLAND AVE STE 140
WINSTON SALEM NC
27101-4367
US

IV. Provider business mailing address

650 HIGHLAND AVE STE 140
WINSTON SALEM NC
27101-4367
US

V. Phone/Fax

Practice location:
  • Phone: 336-703-3250
  • Fax: 336-703-3250
Mailing address:
  • Phone: 336-703-2781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number1129
License Number StateNC

VIII. Authorized Official

Name: DENISE PRICE
Title or Position: DEPUTY COUNTY MANAGER
Credential:
Phone: 336-703-2781