Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forsyth Plastic Surgical Assoc PA

Organization Plastic Surgery Physician · NPI 1811090475

Forsyth Plastic Surgical Assoc PA is a Plastic Surgery Physician in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 Maplewood Ave
Winston Salem, NC 27103
Phone: (336) 765-8620
Fax: (336) 768-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 20000119979 (NC)
Plastic Surgery Physician Taxonomy 208200000X · Licence 200001225739 (NC)
Plastic Surgery Physician Taxonomy 208200000X · Licence 200001205450 (NC)

Record details

NPI number1811090475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fagg — President · (336) 765-8620
NPI enumeratedSeptember 7, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2901 Maplewood Ave, Winston Salem, NC 27103

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