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Organization

PIEDMONT SENIOR CARE, PLLC

Active
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Organization

PIEDMONT SENIOR CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMELITA SAMERA RODRIGUEZ (HR/BM)
(336) 544-5400
Entity
Organization

Contact information

Practice address
1309 N ELM STREET, GREENSBORO, NC 27401
(336) 544-5400
(336) 544-5401
Mailing address
1309 N ELM STREET, GREENSBORO, NC 27401
(336) 544-5400
(336) 544-5401

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013NH
BLUE CROSS BLUE SHIELD
NC
05
89013NH
NC
Enumeration date
11/22/2005
Last updated
11/19/2009
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