Piedmont Healthcare, PA
Internal Medicine in Statesville, NC. Organization (NPI-2).
NPI number1669945952
StatusActive
Last updated in NPPESJan 9, 2019
Details
- NPI
- 1669945952
- Entity type
- Organization (NPI-2)
- Legal business name
- Piedmont Healthcare, PA
- Organization subpart
- No
- Enumeration date
- Jan 9, 2019
- Last updated
- Jan 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
138 Sherlock DrStatesville, NC 28625-1916
Phone 704-873-1021 · Fax 704-838-0706
Mailing address
Po Box 1845Statesville, NC 28687-1845
Phone 704-873-4277
Authorized official
Greg Guin
Cfo
7048734277
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