Organization
PIEDMONT COMMUNITY PHYSICIANS PC
Active
Parent organization
PIEDMONT COMMUNITY PHYSICIANS, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIEDMONT COMMUNITY PHYSICIANS, PC
Authorized official
DANA CAPPS MOODY (PRACTICE ADMINISTRATOR)
(336) 768-3530
Entity
Organization
Contact information
Practice address
3318 HEALY DR, WINSTON SALEM, NC 27103-1404
(336) 768-3530
(336) 768-3636
Mailing address
3318 HEALY DR, WINSTON SALEM, NC 27103-1404
(336) 768-3530
(336) 768-3636
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
207Q00000X
Family Medicine Physician
2002-01010
NC
Other
Enumeration date
06/02/2014
Last updated
08/17/2022
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