Organization
PIEDMONT MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ROHDE (MANAGING MEMBER)
(828) 327-6970
Entity
Organization
Contact information
Practice address
752 4TH ST SW, HICKORY, NC 28602-3401
(828) 327-6970
(828) 327-2878
Mailing address
PO BOX 3766, HICKORY, NC 28603-3766
(828) 327-6970
(828) 327-2878
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00064
NC
332BC3200X
Customized Equipment (DME)
1002186
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
00064
NC
335E00000X
Prosthetic/Orthotic Supplier
C18040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700095
—
NC
05
—
7795117
—
NC
05
—
7795462
—
NC
Enumeration date
06/02/2006
Last updated
04/17/2024
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