Organization
PIEDMONT HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI M CASSIN (DIRECTOR, PROVIDER ENROLLMENT)
(470) 271-3427
Entity
Organization
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(404) 605-3368
Mailing address
PO BOX 102847, ATLANTA, GA 30368-2847
(770) 801-2500
(770) 803-2121
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
013307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313138862A
—
GA
Enumeration date
10/18/2006
Last updated
01/23/2020
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