Forsyth Medical Group, Llc in Winston Salem - Nurse Practitioner
Forsyth Medical Group, Llc - NPI 1912198672
Forsyth Medical Group, Llc is a Nurse Practitioner in Winston Salem, North Carolina. Forsyth Medical Group, Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Forsyth Medical Group, Llc is 1912198672. The last update date is 2008-08-14.
Forsyth Medical Group, Llc's current location address is 2000 Frontis Plaza Blvd Ste 102, Winston Salem, North Carolina. You can contact this provider via phone number 3367181000 and fax number 3367181298. The mailing address for Forsyth Medical Group, Llc is 2000 Frontis Plaza Blvd Ste 102, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Forsyth Medical Group, Llc |
|---|---|
| Address | 2000 Frontis Plaza Blvd Ste 102, Winston Salem, North Carolina |
| Phone Number | 3367181000 |
| Fax Number | 3367181298 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ENROLLMENT |
|---|---|
| Authorized Official Name | Bradshaw Heavenny |
| Telephone Number | 3366792661 |
NPI Number Detail
| NPI Number | 1912198672 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 2000 Frontis Plaza Blvd Ste 102 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271035616 |
| Phone Number | 3367181000 |
| Fax Number | 3367181298 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 015WW | NC | BCBS CAPITATION NUMBER | |
| 590118P | NC | -- | |
| CJ2926 | NC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Forsyth Medical Group, Llc by the Centers for Medicare & Medicaid Services?
The Forsyth Medical Group, Llc has been assigned the NPI (National Provider Identifier) 1912198672 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Forsyth Medical Group, Llc is geographically located?
The Forsyth Medical Group, Llc is physically situated at the following location: 2000 Frontis Plaza Blvd Ste 102, Winston Salem, NC, 271035616.
What is the Forsyth Medical Group, Llc's specialty and taxonomy code?
The Forsyth Medical Group, Llc's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When was the Forsyth Medical Group, Llc's 1912198672 issued?
The Forsyth Medical Group, Llc's 1912198672 was issued on 2007-08-07.
When was the information regarding Forsyth Medical Group, Llc most recently updated?
The details pertaining to the Forsyth Medical Group, Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-08-14.
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