| Forsyth Family Practice Pa | |
|
400 Jonestown Rd Winston Salem NC 27104-4623 | |
| (336) 768-9515 | |
| (336) 768-9082 |
| Full Name | Forsyth Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Jonestown Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Melvin Kenneth Morgan (PRESIDENT FORSYTH FAMILY PRACTICE P) |
| Authorized Official Contact | 3367689515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forsyth Family Practice Pa 400 Jonestown Rd Winston Salem NC 27104-4623 Ph: (336) 768-9515 | Forsyth Family Practice Pa 400 Jonestown Rd Winston Salem NC 27104-4623 Ph: (336) 768-9515 |
| NPI Number | 1629030259 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629030259 | NPI | - | NPPES |
| 8960745 | Medicaid | NC | |
| 8902181 | Medicaid | NC | |
| 8978834 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25935 (North Carolina) | Primary |
| 207Q00000X | Family Medicine | 31076 (North Carolina) | Secondary |
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Novant Health Forsyth Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082 |