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Organization
PIEDMONT ENDOCRINOLOGY, PA
Active
Organization
PIEDMONT ENDOCRINOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM G STAINES (OFFICE MANAGER)
(828) 322-7338
Entity
Organization
Contact information
Practice address
311 9TH AVENUE DR NE, HICKORY, NC 28601-3829
(828) 322-7338
(828) 304-6319
Mailing address
311 9TH AVENUE DR NE, HICKORY, NC 28601-3829
(828) 322-7338
(828) 304-6319
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207RE0101X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236H
BCBS OF NC
NC
05
—
890236H
—
NC
Enumeration date
10/11/2006
Last updated
10/09/2012
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