Organization
PIEDMONT HOSPITALIST PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY AQUINO (DIRECTOR OF PROVIDER ENROLLMENT)
(470) 271-3427
Entity
Organization
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(770) 801-2500
(770) 803-2121
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(770) 801-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522884590A
—
GA
01
—
CB2534
RR MEDICARE
GA
01
—
GRP38415
MEDICARE
GA
Enumeration date
05/08/2006
Last updated
06/26/2025
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