Piedmont Family Medicine, P.a. | |
1401 W Innes St Ste B Salisbury NC 28144-2575 | |
(704) 636-5626 | |
(704) 636-5641 |
Full Name | Piedmont Family Medicine, P.a. |
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Speciality | Clinic/Center |
Location | 1401 W Innes St Ste B, Salisbury, North Carolina |
Authorized Official Name and Position | Chetan N Amin (OWNER) |
Authorized Official Contact | 7046365626 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Piedmont Family Medicine, P.a. 1401 W Innes St Ste B Salisbury NC 28144-2575 Ph: (704) 636-5626 | Piedmont Family Medicine, P.a. 1401 W Innes St Ste B Salisbury NC 28144-2575 Ph: (704) 636-5626 |
NPI Number | 1104968627 |
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Provider Enumeration Date | 02/12/2007 |
Last Update Date | 06/03/2013 |
Medicare PECOS PAC ID | 8426125816 |
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Medicare Enrollment ID | O20080926000556 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104968627 | NPI | - | NPPES |
012MO | Other | NC | BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Chetan N Amin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104892249 PECOS PAC ID: 0345317731 Enrollment ID: I20080926000544 |
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