Organization
PIEDMONT INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE E MOSS (OFFICE MANAGER)
(434) 791-1345
Entity
Organization
Contact information
Practice address
125 EXECUTIVE DR, SUITE H, DANVILLE, VA 24541-4155
(434) 791-1345
Mailing address
125 EXECUTIVE DR, SUITE H, DANVILLE, VA 24541-4155
(434) 791-1345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006237
ANTHEM GROUP NUMBER
VA
05
—
8901421
—
NC
01
—
C10394
MEDICARE GROUP
VA
Enumeration date
05/28/2006
Last updated
12/04/2009
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