# PIEDMONT CLINIC, PLLC

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

## Provider details

- **NPI number:** 1831427871
- **Authorized official:** DR. JORGE CALLES-ESCANDON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (336) 293-4510

## Contact information

- **Practice address:** 2050 GRIFFITH RD, WINSTON SALEM, NC 27103-5509
- **Practice address phone:** (336) 293-4510
- **Mailing address:** 2050 GRIFFITH RD, WINSTON SALEM, NC 27103-5509
- **Mailing address phone:** (336) 293-4510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 200201343 | NC | Yes |

## Other

- **Enumeration date:** 12/03/2009
- **Last updated:** 09/27/2010
