Organization
PIEDMONT COMMUNITY PHYSICIANS PC
Active
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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