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
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