Organization · Type 2 NPI

Forsyth Memorial Hospital Inc

Family Medicine Physician · Clemmons, NC

NPI number 1780642629 Active

Practice location

6301 Stadium Dr
Clemmons, NC 27012-8766

Call (336) 766-6473 Map

Fax (336) 766-8909

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14 other providers at this address

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NPI record

NPI: 1780642629
Entity type: Organization (Type 2)
Issued: May 2, 2006
Last updated: Aug 18, 2021
Status: Active

Other names

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Novant Health Clemmons Family Medicine · doing business as
Novant Health Clemmons Family Medicine · doing business as

Authorized official

Shala Davis
RCS MGR
(704) 303-7517

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780642629

Forsyth Memorial Hospital Inc's National Provider Identifier is 1780642629, issued on May 2, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Clemmons, NC. The record was last updated on Aug 18, 2021.