Piedmont Providers LLC

NPI #1548273592 in Jasper, Georgia

Provider Information

NPI Number
1548273592
Entity Type
Organization
Organization Name
Piedmont Providers LLC
Primary Specialty
Internal Medicine
Enumeration Date
Aug 14, 2006
Last Updated
Oct 26, 2021

Practice Location

Address
220 J L WHITE DR STE 120
City
Jasper
State
Georgia
ZIP Code
30143-4894
Phone
(770) 801-2500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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