Organization
EXTENDED CARE PHYSICIANS - PIEDMONT, PA
Active
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
Update your record
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