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Organization

PIEDMONT ADULT&GERIATRIC MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERZY A. SOPALA M. D. (OWNER/PROVIDER)
(336) 302-1048
Entity
Organization

Contact information

Practice address
2108 SAN FERNANDO DR, HIGH POINT, NC 27265-9643
(336) 885-3058
(336) 885-3058
Mailing address
2108 SAN FERNANDO DR, HIGH POINT, NC 27265-9643
(336) 885-3058
(336) 885-3058

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
09/24/2006
Last updated
11/21/2019
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