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FORSYTH MEDICAL GROUP LLC NPI 1063460970


NPI Information

NPI: 1063460970
Provider Name: FORSYTH MEDICAL GROUP, LLC

Doing Business As: NOVANT HEALTH WILKES MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D0870131

Address:
1919 W PARK DR
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 651-2980
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FORSYTH MEDICAL GROUP, LLC is a family medicine in North Wilkesboro, NC. The provider is 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. FORSYTH MEDICAL GROUP, LLC NPI is 1063460970. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Wilkes Medical Associates.

The provider's business location address is:

1919 W PARK DR
NORTH WILKESBORO, NC
ZIP 28659-564
Phone: (336) 651-2980
Fax: (336) 667-2047

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Mgr and has the following contact phone number (704) 303-7517.

The CLIA number assigned to this NPI record is 34D0870131 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 8/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
189015U3MEDICAIDNORTH CAROLINA
2CJ2926OTHERNORTH CAROLINARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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