Organization
PIEDMONT TRIAD REGIONAL DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DOLGE (EXECUTIVE DIRECTOR)
(336) 904-0300
Entity
Organization
Contact information
Practice address
1398 CARROLLTON CROSSING DR, KERNERSVILLE, NC 27284-3896
(336) 904-0300
(336) 904-0336
Mailing address
1398 CARROLLTON CROSSING DR, KERNERSVILLE, NC 27284-3896
(336) 904-0300
(336) 904-0336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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