Organization
PIEDMONT NEUROSURGERY & SPINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA P SYWENKI (OFFICE MANAGER)
(704) 645-0901
Entity
Organization
Contact information
Practice address
330 JAKE ALEXANDER BLVD W, SUITE 104, SALISBURY, NC 28147-1384
(704) 645-0901
(704) 645-0907
Mailing address
330 JAKE ALEXANDER BLVD W, SUITE 104, SALISBURY, NC 28147-1384
(704) 645-0901
(704) 645-0907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012G2
BCBS OF NC PROVIDER NUMBE
NC
05
—
89012G2
—
NC
01
—
CH8673
RRMED/'RAILROAD MEDICARE
NC
Enumeration date
04/25/2006
Last updated
10/18/2010
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