Organization
PIEDMONT SPECIALTY HOSPITAL BILLING LLC
Active
Organization
PIEDMONT SPECIALTY HOSPITAL BILLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY AQUINO (DIRECTOR OF PROVIDER ENORLLMENT)
(470) 271-3427
Entity
Organization
Contact information
Practice address
1266 HIGHWAY 515 S, JASPER, GA 30143-4872
(770) 801-2500
(770) 803-2121
Mailing address
PO BOX 102847, ATLANTA, GA 30368-2847
(770) 801-2500
(770) 803-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003202949A
—
GA
Enumeration date
08/11/2017
Last updated
02/06/2023
Update your record
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