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Organization

EXTENDED CARE PHYSICIANS - PIEDMONT, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN GLEESON-WARREN (DIRECTOR OF CREDENTIALING)
(828) 210-2678
Entity
Organization

Contact information

Practice address
2359 SPRINGS RD NE, HICKORY, NC 28601-3067
(828) 358-0017
Mailing address
PO BOX 890308, CHARLOTTE, NC 28289-0308

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
31342
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890172R
NC
Enumeration date
12/29/2006
Last updated
03/19/2014
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