Organization
FAMILY SERVICE OF THE PIEDMONT, INC.
Active
Organization
FAMILY SERVICE OF THE PIEDMONT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FOSTER CAMPBELL LPC (PRESIDENT/CEO)
(336) 889-6105
Entity
Organization
Contact information
Practice address
315 E WASHINGTON ST, GREENSBORO, NC 27401-2911
(336) 387-6161
(336) 387-9167
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 889-6105
(336) 387-9167
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201930
NC
363LA2200X
Adult Health Nurse Practitioner
201930
NC
363LF0000X
Family Nurse Practitioner
201930
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201930
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
201930
NC
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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