Organization
MOREHEAD MEMORIAL HOSPITAL
Active
Other names
Piedmont Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L HUNT (PRESIDENT)
(336) 623-9711
Entity
Organization
Contact information
Practice address
515 THOMPSON ST, SUITE B, EDEN, NC 27288-5068
(336) 623-9118
(336) 623-1902
Mailing address
515 THOMPSON ST, SUITE B, EDEN, NC 27288-5068
(336) 623-9118
(336) 623-1902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01563
BLUE CROSS BLUE SHIELD NC
NC
01
—
026870
ANTHEM
VA
05
—
7901563
—
NC
01
—
CD8709
RAILROAD MEDICARE
NC
Enumeration date
11/11/2005
Last updated
04/20/2010
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