Organization
PIEDMONT IMAGING LLC
Active
Other names
Novant Health Imaging Piedmont
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K GARDNER (SVP FINANCE AND REVENUE CYCLE)
(336) 718-2078
Entity
Organization
Contact information
Practice address
185 KIMEL PARK DR, SUITE 100, WINSTON-SALEM, NC 27103-6973
(336) 760-1880
(336) 760-1807
Mailing address
PO BOX 603543, CHARLOTTE, NC 28260-3543
(678) 393-5600
(770) 300-9018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01725
BCBS NC
NC
01
—
371905900
DOL
NC
05
—
7901725
—
NC
01
—
P00450158
MEDICARE RAILROAD
—
Enumeration date
05/03/2006
Last updated
03/20/2024
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