| NPI | 1659673838 |
|---|---|
| Doing Business As | PIEDMONT SENIOR CARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH K. BOGGS CFO 336-832-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |