| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1053369504 | FORSYTH MEDICAL GROUP, LLC | 1718 E 4TH ST | CHARLOTTE | NC | 282043261 | |||
| 1750339834 | FORSYTH MEDICAL GROUP, LLC | 2000 FRONTIS PLAZA BLVD STE 102 | WINSTON SALEM | NC | 271035616 | |||
| 1427020577 | HERRICK | WAYNE | 2000 FRONTIS PLAZA BLVD STE 200 | WINSTON SALEM | NC | 271035616 |