| Piedmont Premium Care,llc | |
|
500 W 4th St Ste 201f Winston Salem NC 27101-2782 | |
| (336) 997-4089 | |
| (336) 293-4800 |
| Full Name | Piedmont Premium Care,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 W 4th St Ste 201f, Winston Salem, North Carolina |
| Authorized Official Name and Position | Cynthia Renee Simmons (OWNER) |
| Authorized Official Contact | 3369974089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Premium Care,llc 500 W 4th St Ste 201f Winston Salem NC 27101-2782 Ph: (336) 997-4089 | Piedmont Premium Care,llc 500 W 4th St Ste 201f Winston Salem NC 27101-2782 Ph: (336) 997-4089 |
| NPI Number | 1992467674 |
|---|---|
| Provider Enumeration Date | 10/09/2021 |
| Last Update Date | 10/11/2021 |
| Certification Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992467674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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