Organization
PIEDMONT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K. GARDNER (SVP FINANCE AND REVENUE CYCLE)
(336) 718-2078
Entity
Organization
Contact information
Practice address
684 N PINE ST, SPARTANBURG, SC 29303-3745
(770) 300-0101
(770) 300-0429
Mailing address
PO BOX 933548, ATLANTA, GA 31193-3548
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001253
RAILROAD MEDICARE
SC
Enumeration date
05/03/2006
Last updated
03/19/2024
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