| |
3333 Silas Creek Pkwy Winston-salem NC 27103-3013 | |
(336) 718-7080 | |
(336) 718-9622 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3333 Silas Creek Pkwy, Winston-salem, North Carolina |
Authorized Official Name and Position | Michele Grier (VP OPERATIONS) |
Authorized Official Contact | 3367187080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2000 Frontis Plaza Blvd Ste 102 Attn: Forsyth Medical Group Winston Salem NC 27103-5616 Ph: (336) 718-7080 | 3333 Silas Creek Pkwy Winston-salem NC 27103-3013 Ph: (336) 718-7080 |
NPI Number | 1609824788 |
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Provider Enumeration Date | 05/04/2006 |
Last Update Date | 09/04/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609824788 | NPI | - | NPPES |
CA1315 | Other | NC | RAILROAD MEDICARE |
3340 | Other | NC | PARTNERS |
01517 | Other | NC | BCBS-NC |
5901517 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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