OrganizationActive
Forsyth Plastic Surgical Assoc PA
NPI 1811090475 · Plastic Surgery Physician · Winston Salem, NC
Provider details
- NPI number
- 1811090475
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Fagg, President(336) 765-8620
- License
- 200001225739 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2901 Maplewood Ave
Winston Salem, NC 27103
Phone: (336) 765-8620
Fax: (336) 768-6236
Approximate (ZIP-level) locationGet directions
Mailing address
2901 Maplewood Ave
Winston Salem, NC 27103
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.