Organization
PIEDMONT JOINT REPLACEMENT, BACK & SPORTS MEDICINE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TITUS PLOMARITIS JR. MD (PHYSICIAN)
(336) 623-2623
Entity
Organization
Contact information
Practice address
110 S PARK TER, EDEN, NC 27288-5351
(336) 623-2623
(336) 623-7909
Mailing address
110 S PARK TER, EDEN, NC 27288-5351
(336) 623-2623
(336) 623-7909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128V
BCBS OF NC
NC
05
—
790128V
—
NC
Enumeration date
08/28/2006
Last updated
09/02/2008
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