NPIMap

Piedmont Healthcare, PA

Organization Active NPI Family Medicine Physician · Mooresville, NC

NPI 1194298489 · NPPES record last updated Jan 9, 2019

Key facts

NPI
1194298489
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
PIEDMONT HEALTHCARE, PA
Practice address
206 Joe V. Knox Avenue
Mooresville, NC 28117
Phone
(704) 360-4801
Fax
(704) 696-2565
NPI assigned
Jan 9, 2019
Organization subpart
No

Authorized official

Name
Greg Guin
Title
Cfo
Phone
(704) 873-4277

Corporate family (same tax ID) 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Piedmont Healthcare (40 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

206 Joe V. Knox Avenue
Mooresville, NC 28117

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

Other providers in Mooresville, NC

All providers in Mooresville, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.