# PIEDMONT WALTON HOSPITAL INC

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

## Provider details

- **NPI number:** 1720589328
- **Authorized official:** MR. ROBERT C CROSS (VP, GOVERNMENT REIMBURSEMENT)
- **Authorized official phone:** (470) 271-3401

## Contact information

- **Practice address:** 2151 W SPRING ST, MONROE, GA 30655-3202
- **Practice address phone:** (770) 267-8461
- **Practice address fax:** (770) 267-1888
- **Mailing address:** 2727 PACES FERRY RD SE STE 2-920, ATLANTA, GA 30339-4053
- **Mailing address phone:** (770) 267-8461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 147-613 | GA | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 02/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000020677A | — | GA |