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Organization

PIEDMONT COMMUNITY PHYSICIANS PC

Active
Other names
Vein Clinic of North Carolina
Organization subpart
No

Provider details

NPI number
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
PO BOX 26822, WINSTON SALEM, NC 27114-6822
(336) 765-0187
(336) 768-3636

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
207Q00000X
Family Medicine Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
04/27/2006
Last updated
08/17/2022
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