Organization
PIEDMONT UROLOGY ASSOCIATES PA
Active
Organization
PIEDMONT UROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L WATERHOUSE JR. M.D. (PRESIDENT)
(704) 869-0075
Entity
Organization
Contact information
Practice address
924 COX RD, GASTONIA, NC 28054-3456
(704) 869-0075
(704) 869-8875
Mailing address
924 COX RD, GASTONIA, NC 28054-3456
(704) 869-0075
(704) 869-8875
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0099-01352
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02266
BCBS OF NC PROVIDER NUMBE
NC
05
—
8902266
—
NC
Enumeration date
06/01/2005
Last updated
04/30/2008
Update your record
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