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FORSYTH MEMORIAL HOSPITAL INC NPI 1235629890


NPI Information

NPI: 1235629890
Provider Name: FORSYTH MEMORIAL HOSPITAL, INC

Doing Business As: NOVANT HEALTH UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 34D0237550

Address:
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 245-2100
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FORSYTH MEMORIAL HOSPITAL, INC is an urology in Winston Salem, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FORSYTH MEMORIAL HOSPITAL, INC NPI is 1235629890. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Urology.

The provider's business location address is:

140 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103-160
Phone: (336) 245-2100
Fax: (336) 768-7782

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The CLIA number assigned to this NPI record is 34D0237550 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2018 and was last updated on 7/12/2023.


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
1208800000XUrologyNORTH CAROLINAYes

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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