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FORSYTH MEMORIAL HOSPITAL INC NPI 1275591091


NPI Information

NPI: 1275591091
Provider Name: FORSYTH MEMORIAL HOSPITAL INC

Doing Business As: NOVANT HEALTH DAVIE MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D0980180

Address:
485 VALLEY RD
MOCKSVILLE, NC
ZIP 27028
Phone: (336) 751-8000
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FORSYTH MEMORIAL HOSPITAL INC is a family medicine in Mocksville, 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 MEMORIAL HOSPITAL INC NPI is 1275591091. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Davie Medical Associates.

The provider's business location address is:

485 VALLEY RD
MOCKSVILLE, NC
ZIP 27028-074
Phone: (336) 751-8000
Fax: (336) 751-8010

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 34D0980180 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 7/10/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CA1315OTHERNORTH CAROLINARAILROAD MEDICARE
27902054MEDICAIDNORTH CAROLINA

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: 5/5/2024

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