Organization · NPI-2
Forsyth Memorial Hospital INC
Family Medicine · Mount Airy, NC
NPI number1043690522
StatusActive
Last updated in NPPESJun 1, 2015
Details
- NPI
- 1043690522
- Entity type
- Organization (NPI-2)
- Legal business name
- Forsyth Memorial Hospital INC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2015
- Last updated
- Jun 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Novant Health Surry Medical Associates (Doing Business As)
Practice location
2133 Rockford StSuite 1400
Mount Airy, NC 27030-6587
Phone 336-719-0398 · Fax 336-719-0494
Mailing address
Po Box 751803Charlotte, NC 28275-1803
Phone 336-719-0398
Authorized official
Geoffery Gardner
Vp Of Finance
3367190398
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