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General NPI Number Information
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NPI Number | 1750081378
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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 | 03/03/2023
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 27 DOCTORS DR
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-7209
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Country | US
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Telephone | 828-687-3800
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Fax | 828-687-1814
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Provider Business Mailing Address
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Address Line | 2085 FRONTIS PLAZA BLVD 3RD FLOOR
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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 | 336-277-8755
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Fax | 336-277-7701
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Authorized Official
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Title or Position | VP OPS & 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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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Taxonomy #7
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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Taxonomy #8
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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Taxonomy #9
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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Taxonomy #10
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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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Taxonomy #11
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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