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FORSYTH MEDICAL GROUP LLC NPI 1245288786


NPI Information

NPI: 1245288786
Provider Name: FORSYTH MEDICAL GROUP, LLC

Doing Business As: DAVIDSON EAR NOSE THROAT & SINUS CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2000 FRONTIS PLAZA BLVD STE 102
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 712-0700
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FORSYTH MEDICAL GROUP, LLC is a cardiovascular disease internal medicine in Winston Salem, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. FORSYTH MEDICAL GROUP, LLC NPI is 1245288786. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Davidson Ear Nose Throat & Sinus Center.

The provider's business location address is:

2000 FRONTIS PLAZA BLVD STE 102
WINSTON SALEM, NC
ZIP 27103-616
Phone: (336) 712-0700
Fax: (336) 712-0876

The provider's authorized official is Michele Grier .
The authorized official title is Vp Of Operations and has the following contact phone number (336) 712-0700.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/14/2008.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1CJ2926OTHERNORTH CAROLINARAILROAD MEDICARE
22344744MEDICARE PINNORTH CAROLINA
30123WOTHERNORTH CAROLINABLUECROSS BLUESHIELD
489011Y9MEDICAIDNORTH CAROLINA
52745OTHERNORTH CAROLINABLUE 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: 4/28/2024

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