Organization
PIEDMONT CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE CALLES-ESCANDON M.D. (MEDICAL DIRECTOR)
(336) 293-4510
Entity
Organization
Contact information
Practice address
2050 GRIFFITH RD, WINSTON SALEM, NC 27103-5509
(336) 293-4510
Mailing address
2050 GRIFFITH RD, WINSTON SALEM, NC 27103-5509
(336) 293-4510
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
200201343
NC
Other
Enumeration date
12/03/2009
Last updated
09/27/2010
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