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FORSYTH MEDICAL GROUP LLC NPI 1003078999


NPI Information

NPI: 1003078999
Provider Name: FORSYTH MEDICAL GROUP LLC

Doing Business As: NOVANT HEALTH TWIN CITY PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D2015161

Address:
2821 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 718-3960
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FORSYTH MEDICAL GROUP LLC is a pediatrics in Winston Salem, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FORSYTH MEDICAL GROUP LLC NPI is 1003078999. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Twin City Pediatrics.

The provider's business location address is:

2821 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103-137
Phone: (336) 718-3960
Fax: (336) 718-3998

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

The CLIA number assigned to this NPI record is 34D2015161 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 8/16/2021.


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
1208000000XPediatricsYes

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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