# PIEDMONT MEDICAL CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033276407
- **Authorized official:** MRS. CHRISTY F AQUINO (DIRECTOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (470) 895-0214

## Contact information

- **Practice address:** 2700 HIGHWAY 34 E, BLDG 300, NEWNAN, GA 30265-1330
- **Practice address phone:** (770) 304-0987
- **Practice address fax:** (770) 304-0534
- **Mailing address:** PO BOX 102321, ATLANTA, GA 30368-2321
- **Mailing address phone:** (404) 367-7690
- **Mailing address fax:** (404) 367-2584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 04/11/2023