Organization
PIEDMONT PULMONOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
200 S HERLONG AVE, SUITE E-1, ROCK HILL, SC 29732-3399
(803) 324-1950
(803) 324-1933
Mailing address
200 S HERLONG AVE, SUITE E-1, ROCK HILL, SC 29732-3399
(803) 324-1950
(803) 324-1933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4845
—
SC
Enumeration date
02/01/2008
Last updated
06/23/2016
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