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Organization
PIEDMONT PROVIDER SERVICES PC
Active
Organization
PIEDMONT PROVIDER SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G. HOLTZCLAW MD (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1000
(770) 389-2133
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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