Organization
PIEDMONT ROCKDALE HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C CROSS (VP GOVERNMENT REIMBURSEMENT)
(470) 271-3401
Entity
Organization
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012
(770) 918-3000
Mailing address
2727 PACES FERRY RD SE STE 2-920, ATLANTA, GA 30339-4053
(770) 918-3000
(770) 444-3340
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001603A
—
GA
05
—
122-726
—
GA
Enumeration date
09/29/2017
Last updated
02/26/2024
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