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Organization
PIEDMONT WELLNESS GROUP, L.L.C.
Active
Organization
PIEDMONT WELLNESS GROUP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D'NODRICK MICHAEL HICKS (DIRECTOR)
(336) 793-8283
Entity
Organization
Contact information
Practice address
3516 VEST MILL RD STE L1, WINSTON SALEM, NC 27103-2979
(336) 793-8283
Mailing address
3516 VEST MILL RD STE L1, WINSTON SALEM, NC 27103-2979
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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