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General NPI Number Information
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NPI Number | 1457245722
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Entity Type | Organization
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Legal Business Name | FORSYTH MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 5650 NC HIGHWAY 49 S
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City | HARRISBURG
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State | NC
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Zip | 28075-8471
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Country | US
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Telephone | 833-493-4325
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Fax | 833-918-2233
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Provider Business Mailing Address
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Address Line | 2085 FRONTIS PLAZA BLVD FL 3
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City | WINSTON SALEM
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State | NC
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Zip | 27103-5614
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Country | US
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Telephone | 336-277-1611
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Fax | 336-277-9606
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Authorized Official
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Title or Position | VP OPS AND NEW DEVELOPMENT
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Name | JODY MORRIS
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Credential |
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Telephone | 919-497-8401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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