# PIEDMONT COMMUNITY PHYSICIANS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PIEDMONT COMMUNITY PHYSICIANS, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790971398
- **Legal business name:** PIEDMONT COMMUNITY PHYSICIANS, PC
- **Authorized official:** MR. DICKSON M CAPPS (CAO)
- **Authorized official phone:** (336) 765-0187

## Contact information

- **Practice address:** 3610 DARREN RD, CLEMMONS, NC 27012-9077
- **Practice address phone:** (336) 765-0187
- **Practice address fax:** (336) 768-3636
- **Mailing address:** PO BOX 26822, WINSTON SALEM, NC 27114-6822
- **Mailing address phone:** (336) 765-0185
- **Mailing address fax:** (336) 768-3636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9900105 | NC | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 01/04/2018