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Organization
PIEDMONT STONE CENTER
Active
Organization
PIEDMONT STONE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H HAUSER (CEO)
(336) 714-2500
Entity
Organization
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
Mailing address
PO BOX 25866, WINSTON SALEM, NC 27114-5866
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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