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Organization
PIEDMONT PREMIUM CARE,LLC
Active
Organization
PIEDMONT PREMIUM CARE,LLC
Active
Other names
Piedmont Premium Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA RENEE SIMMONS (OWNER)
(336) 997-4089
Entity
Organization
Contact information
Practice address
500 W 4TH ST STE 201F, WINSTON SALEM, NC 27101-2782
(336) 997-4089
(336) 293-4800
Mailing address
500 W 4TH ST STE 201F, WINSTON SALEM, NC 27101-2782
(336) 997-4089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2021
Last updated
10/11/2021
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