Piedmont Triad Anesthesia, PA

NPI #1467497081 in Winston-Salem, North Carolina

Provider Information

NPI Number: 1467497081
Entity Type: Organization
Organization Name: Piedmont Triad Anesthesia, PA
Primary Specialty: Anesthesiology
Enumeration Date: Jun 18, 2006
Last Updated: Feb 8, 2023

Practice Location

Address: 145 KIMEL PARK DR
Address 2: SUITE 120
City: Winston-Salem
State: North Carolina
ZIP Code: 27103-6983
Phone: (336) 768-3212

Authorized Official

Name: THOMAS LUKISH III
Title: PRACTICE ADMINISTRATOR
Phone: (336) 768-3212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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Organizations

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