Organization
PIEDMONT RETINA SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BROWNING SANDERS M.D. (PROVIDER/PHYSICIAN)
(336) 369-7100
Entity
Organization
Contact information
Practice address
1132 NORTH CHURCH STREET, SUITE 103, GREENSBORO, NC 27401-1040
(336) 369-7100
(336) 369-7101
Mailing address
1132 NORTH CHURCH STREET, SUITE 103, GREENSBORO, NC 27401-1040
(336) 369-7100
(336) 369-7101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2005-00329
NC
207W00000X
Ophthalmology Physician
Primary
9801464
NC
261QM2500X
Medical Specialty Clinic/Center
2005-00329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913879
—
NC
Enumeration date
05/22/2009
Last updated
06/10/2014
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