# PIEDMONT STONE CENTER

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

## Provider details

- **NPI number:** 1578609517
- **Authorized official:** CHARLES H HAUSER (CEO)
- **Authorized official phone:** (336) 714-2500

## Contact information

- **Practice address:** 218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
- **Practice address phone:** (704) 873-0281
- **Mailing address:** PO BOX 25866, WINSTON SALEM, NC 27114-5866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QL0400X | Lithotripsy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020
