Organization
DHP OF PIEDMONT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HOLTZCLAW M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
265 BROOKVIEW CENTRE WAY, SUITE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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