Organization
PIEDMONT OCCUPATIONAL & GENERAL MEDICINE
Active
Other names
PIEDMONT OCCUPATIONAL URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA D PRUITT M.D. (OWNER)
(336) 453-3446
Entity
Organization
Contact information
Practice address
217 TURNER DR STE A, REIDSVILLE, NC 27320-5754
(336) 349-4070
Mailing address
217 TURNER DR STE A, REIDSVILLE, NC 27320-5754
(336) 349-4070
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9400512
NC
261QX0100X
Occupational Medicine Clinic/Center
9400512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
893786E
—
NC
Enumeration date
07/15/2013
Last updated
10/23/2023
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