Organization
PIEDMONT MEDICAL CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY F AQUINO (DIRECTOR, PROVIDER ENROLLMENT)
(470) 895-0214
Entity
Organization
Contact information
Practice address
2700 HIGHWAY 34 E, BLDG 300, NEWNAN, GA 30265-1330
(770) 304-0987
(770) 304-0534
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(404) 367-7690
(404) 367-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000340535G
—
GA
Enumeration date
01/03/2007
Last updated
04/11/2023
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