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FORSYTH MEMORIAL HOSPITAL INC NPI 1073823118


NPI Information

NPI: 1073823118
Provider Name: FORSYTH MEMORIAL HOSPITAL INC

Doing Business As: NOVANT HEALTH ONCOLOGY SPECIALISTS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 34D2284268

Address:
1710 KERNERSVILLE MEDICAL PKWY STE 116
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 564-4170
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FORSYTH MEMORIAL HOSPITAL INC is a hematology and oncology internal medicine in Kernersville, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. FORSYTH MEMORIAL HOSPITAL INC NPI is 1073823118. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Oncology Specialists.

The provider's business location address is:

1710 KERNERSVILLE MEDICAL PKWY STE 116
KERNERSVILLE, NC
ZIP 27284-156
Phone: (336) 564-4170
Fax: (336) 564-4936

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 34D2284268 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2010 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
1207RH0003XInternal MedicineHematology & OncologyYes

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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