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Organization
PIEDMONT THERAPY SERVICES, INC.
Active
Organization
PIEDMONT THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY RANDOLPH M.ED. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(910) 599-6994
Entity
Organization
Contact information
Practice address
8810 LAUREL RUN DR, CHARLOTTE, NC 28269-6162
(910) 599-6994
(704) 274-9212
Mailing address
8810 LAUREL RUN DR, CHARLOTTE, NC 28269-6162
(910) 599-6994
(704) 274-9212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11945
BLUE CROSS BLUE SHIELD NC
NC
05
—
7211429
—
NC
05
—
7411551
—
NC
Enumeration date
11/29/2006
Last updated
06/01/2011
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