Organization
PIEDMONT FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHETAN N AMIN D.O. (OWNER)
(704) 636-5626
Entity
Organization
Contact information
Practice address
1401 W INNES ST STE B, SALISBURY, NC 28144-2575
(704) 636-5626
(704) 636-5641
Mailing address
1401 W INNES ST STE B, SALISBURY, NC 28144-2575
(704) 636-5626
(704) 636-5641
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012MO
BCBS GROUP NUMBER
NC
Enumeration date
02/12/2007
Last updated
06/03/2013
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