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FORSYTH MEDICAL GROUP LLC NPI 1205191418


NPI Information

NPI: 1205191418
Provider Name: FORSYTH MEDICAL GROUP LLC

Doing Business As: NOVANT HEALTH CARDIOLOGY ELKIN

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
189 SAMARITANS RIDGE RD
ELKIN, NC
ZIP 28621
Phone: (336) 526-3005
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FORSYTH MEDICAL GROUP LLC is a cardiovascular disease internal medicine in Elkin, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. FORSYTH MEDICAL GROUP LLC NPI is 1205191418. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Cardiology Elkin.

The provider's business location address is:

189 SAMARITANS RIDGE RD
ELKIN, NC
ZIP 28621-472
Phone: (336) 526-3005
Fax: (336) 526-3011

The provider's authorized official is Shala Davis .
The authorized official title is Manager and has the following contact phone number (704) 303-7517.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 8/16/2021.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
11205191418MEDICAIDNORTH 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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