Organization
PIEDMONT INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER T. AUGOUSTIDES M.D. (OWNER)
(336) 760-0240
Entity
Organization
Contact information
Practice address
1411 PLAZA WEST DR, SUITE B, WINSTON SALEM, NC 27103-1482
(336) 760-0240
(336) 760-4568
Mailing address
1411 PLAZA WEST DR, SUITE B, WINSTON SALEM, NC 27103-1482
(336) 760-0240
(336) 760-4568
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
36139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2339957
MEDICARE GROUP NUMBER
NC
Enumeration date
08/15/2007
Last updated
08/15/2007
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