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Organization

PIEDMONT HEALTH SERVICES INC

Active
Other names
Carrboro CHC Dental Mobile
Organization subpart
No

Provider details

NPI number
Authorized official
LYDIA FUSE MASON (CFO)
(919) 933-8494
Entity
Organization

Contact information

Practice address
301 LLOYD ST, CARRBORO, NC 27510-1823
(919) 942-8741
(919) 942-1473
Mailing address
PO BOX 17179, CHAPEL HILL, NC 27516-7179
(919) 933-8494
(919) 933-9201

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
12/20/2019
Last updated
12/20/2019
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