Piedmont Senior Care, Pllc | |
1309 N Elm Street Greensboro NC 27401 | |
(336) 544-5400 | |
(336) 544-5401 |
Full Name | Piedmont Senior Care, Pllc |
---|---|
Speciality | Internal Medicine - Geriatric Medicine |
Location | 1309 N Elm Street, Greensboro, North Carolina |
Authorized Official Name and Position | Amelita Samera Rodriguez (HR/BM) |
Authorized Official Contact | 3365445400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Piedmont Senior Care, Pllc 1309 N Elm Street Greensboro NC 27401 Ph: (336) 544-5400 | Piedmont Senior Care, Pllc 1309 N Elm Street Greensboro NC 27401 Ph: (336) 544-5400 |
NPI Number | 1770566846 |
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Provider Enumeration Date | 11/22/2005 |
Last Update Date | 11/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770566846 | NPI | - | NPPES |
89013NH | Medicaid | NC | |
013NH | Other | NC | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (North Carolina) | Primary |
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