Organization
PIEDMONT IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (C.O.O.)
(770) 300-0101
Entity
Organization
Contact information
Practice address
185 KIMEL PARK DR, SUITE 100, WINSTON SALEM, NC 27103-6973
(336) 760-1880
(336) 760-1807
Mailing address
P.O. BOX 933393, ATLANTA, GA 31193-3393
(336) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA6811
MEDICARE RAILROAD
—
Enumeration date
04/16/2008
Last updated
08/25/2012
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