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NPI Code Detail

MEDICARE: FORSYTH MEMORIAL HOSPITAL

MEDICARE: FORSYTH MEMORIAL HOSPITAL
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1518379536
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORSYTH MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4611 YADKINVILLE RD
Second Line :
City : PFAFFTOWN
State : NC
Zip : 27040-8622
Country : US
Telephone Number : 336-718-7600
Fax Number : 336-922-3595
Authorized Official
Title or Position : RCS MANAGER
Name : LEEA JEANINE WALTON
Credential :
Telephone Number : 704-316-6081
Provider Enumeration Date : 05/26/2014
Last Update Date : 07/11/2023

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Directions to “FORSYTH MEMORIAL HOSPITAL ” Practice Location

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