Organization
PIEDMONT DERMATOLOGY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NED JAY GROSS M.D. (PRESIDENT/MEDICAL DOCTOR)
(276) 666-8439
Entity
Organization
Contact information
Practice address
314 FAIRY STREET EXT, SUITE D, MARTINSVILLE, VA 24112-1913
(276) 666-8439
(276) 666-8440
Mailing address
314 FAIRY STREET EXT, SUITE D, MARTINSVILLE, VA 24112-1913
(276) 666-8439
(276) 666-8440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101228761
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011P5
BCBS
NC
01
—
0308562
UNITED HEALTHCARE
NC
01
—
070015390
RAILROAD MEDICARE
VA
01
—
070015616
RAILROAD MEDICARE
NC
01
—
285584
ANTHEM
VA
01
—
7986163
AETNA
NC
01
—
7986163
AETNA
VA
05
—
89011P5
—
NC
01
—
9767433
CIGNA
NC
01
—
9767433
CIGNA
VA
01
—
A1547
MEDCOST
NC
01
—
A1547
MEDCOST
VA
Enumeration date
10/18/2006
Last updated
10/03/2011
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