| NPI | 1285931089 |
|---|---|
| Doing Business As | PIEDMONT PRIMECARE-CENTRA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LEWIS ADDISON CFO 434-200-3656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2012-11-14 |