Forsyth Family Practice Pa
LBN: Forsyth Family Practice Pa
Forsyth Family Practice Pa is an health care organization with primary practice located at 400 Jonestown Rd , Winston Salem NC 27104-4623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Forsyth Family Practice Pa can be contacted via phone (336) 768-9515, or through Morgan, Melvin Kenneth via phone (336) 768-9515.
Contact Information
Primary practice address
400 Jonestown Rd
Winston Salem NC 27104-4623
Phone: (336) 768-9515
Fax: (336) 768-9082
Website:
Authorized official contact:
Name: Morgan, Melvin Kenneth Doctor of Medicine (MD)
Phone: (336) 768-9515
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25935 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31076 | North Carolina |
Profile Details
| NPI number | 1629030259 |
|---|---|
| LBN Legal business name | Forsyth Family Practice Pa |
| DBA Doing business as | |
| Authorized official | Morgan, Melvin Kenneth Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629030259 | NPPES |
| North Carolina | MEDICAID | 8960745 | |
| North Carolina | MEDICAID | 8902181 | |
| North Carolina | MEDICAID | 8978834 |
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