| Piedmont Therapeutics, Pllc | |
|
321 East Blvd Apt 3 Charlotte NC 28203-4815 | |
| (980) 689-0778 | |
| Not Available |
| Full Name | Piedmont Therapeutics, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 321 East Blvd Apt 3, Charlotte, North Carolina |
| Authorized Official Name and Position | Jennifer Majors Ethridge (CO-OWNER) |
| Authorized Official Contact | 9806890778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Therapeutics, Pllc 321 East Blvd Apt 3 Charlotte NC 28203-4815 Ph: (980) 689-0778 | Piedmont Therapeutics, Pllc 321 East Blvd Apt 3 Charlotte NC 28203-4815 Ph: (980) 689-0778 |
| NPI Number | 1083180194 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083180194 | NPI | - | NPPES |
| 1538597331 | Medicaid | NC | |
| 1871921494 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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