| Piedmont Community Physicians Pc | |
|
3610 Darren Rd Clemmons NC 27012-9077 | |
| (336) 765-0185 | |
| (336) 768-3636 |
| Full Name | Piedmont Community Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3610 Darren Rd, Clemmons, North Carolina |
| Authorized Official Name and Position | Dickson M Capps (CAO) |
| Authorized Official Contact | 3367650187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Community Physicians Pc Po Box 26822 Winston Salem NC 27114-6822 Ph: (336) 765-0185 | Piedmont Community Physicians Pc 3610 Darren Rd Clemmons NC 27012-9077 Ph: (336) 765-0185 |
| NPI Number | 1821218496 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 01/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821218496 | NPI | - | NPPES |
| 7066710 | Other | AETNA | |
| 2325473A | Other | NC | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2002-01010 (North Carolina) | Primary |
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