# PIEDMONT STONE CENTER PLLC

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

## Provider details

- **NPI number:** 1700827409
- **Authorized official:** MR. CHARLES H HAUSER (CEO)
- **Authorized official phone:** (336) 714-2500

## Contact information

- **Practice address:** 1907 SOUTH HAWTHORNE RD, WINSTON-SALEM, NC 27103
- **Practice address phone:** (336) 765-6373
- **Practice address fax:** (336) 765-6436
- **Mailing address:** PO BOX 25866, WINSTON-SALEM, NC 27114-5866
- **Mailing address phone:** (336) 714-2500
- **Mailing address fax:** (336) 714-2556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 261QL0400X | Lithotripsy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 02/19/2019