Piedmont Professional Services, LLC

NPI #1104088905 in Stockbridge, Georgia

Provider Information

NPI Number
1104088905
Entity Type
Organization
Organization Name
Piedmont Professional Services, LLC
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Jul 2, 2008
Last Updated
Aug 10, 2021

Practice Location

Address
1855 HUDSON BRIDGE RD
State
Georgia
ZIP Code
30281-5000
Phone
(770) 801-2500

Authorized Official

Name
MRS. CHRISTY AQUINO
Title
DIRECTOR OF PROVIDER ENROLLMENT
Phone
(470) 271-3427

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease
Internal Medicine - NephrologyNephrology

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