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NPI Code Detail

MEDICARE: FORSYTH MEMORIAL HOSPITAL INC

MEDICARE: FORSYTH MEMORIAL HOSPITAL INC
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
12084N0400XNeurology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CA1315OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679531560
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORSYTH MEMORIAL HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 704-384-9144
Fax Number : 704-417-1043
Provider Business Practice Location Address
First Line : 2025 FRONTIS PLAZA BLVD
Second Line : STE 120
City : WINSTON-SALEM
State : NC
Zip : 27103-5663
Country : US
Telephone Number : 336-277-2200
Fax Number : 336-277-2210
Authorized Official
Title or Position : SVP & COO NOVANT MEDICAL GROUP
Name : KATHRYN LANGFORD
Credential :
Telephone Number : 704-384-9144
Provider Enumeration Date : 05/02/2006
Last Update Date : 11/29/2013

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Directions to “FORSYTH MEMORIAL HOSPITAL INC ” Practice Location

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