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Organization

PIEDMONT PERFORMANCE EVALUATIONS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSLYN MILLER WALKER MA, LPA (OWNER)
(704) 763-7386
Entity
Organization

Contact information

Practice address
1945 JN PEASE PL, SUITE 201, CHARLOTTE, NC 28262-4511
(704) 763-7386
(704) 717-2440
Mailing address
1945 JN PEASE PL, SUITE 201, CHARLOTTE, NC 28262-4511
(704) 763-7386
(704) 717-2440

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1526
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
144PE
BLUE CROSS BLUE SHIED
NC
05
6006048
NC
Enumeration date
09/10/2009
Last updated
09/10/2009
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