| Piedmont Healthcare, Pa | |
|
435 E Statesville Ave Mooresville NC 28115-2598 | |
| (704) 663-5056 | |
| (704) 663-5780 |
| Full Name | Piedmont Healthcare, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 435 E Statesville Ave, Mooresville, North Carolina |
| Authorized Official Name and Position | Greg Guin (CFO) |
| Authorized Official Contact | 7048734277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Healthcare, Pa Po Box 1845 Statesville NC 28687-1845 Ph: (704) 873-4277 | Piedmont Healthcare, Pa 435 E Statesville Ave Mooresville NC 28115-2598 Ph: (704) 663-5056 |
| NPI Number | 1225501877 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225501877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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