Organization
PIEDMONT SURGICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY ELAINE MILLER (OFFICE MANAGER)
(704) 786-1104
Entity
Organization
Contact information
Practice address
56 LAKE CONCORD RD NE, CONCORD, NC 28025-3035
(704) 786-1104
(704) 788-3112
Mailing address
56 LAKE CONCORD RD NE, CONCORD, NC 28025-3035
(704) 786-1104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
01/10/2008
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