Organization
WESTERN PIEDMONT ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WEATHERS (MANAGER)
(334) 425-1583
Entity
Organization
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 270-7186
(866) 502-1008
Mailing address
PO BOX 488, CONOVER, NC 28613-0488
(855) 968-8233
(866) 502-1008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6902934
—
NC
01
—
DA8589
RAILROAD MEDICARE PROV #
NC
Enumeration date
05/18/2006
Last updated
05/08/2023
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