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PIEDMONT CARE INC. NPI 1114403342


NPI Information

NPI: 1114403342
Provider Name: PIEDMONT CARE, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D1075868

Address:
101 N PINE ST STE 200
SPARTANBURG, SC
ZIP 29302
Phone: (864) 582-7773
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PIEDMONT CARE, INC. is a family medicine in Spartanburg, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PIEDMONT CARE, INC. NPI is 1114403342. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 N PINE ST STE 200
SPARTANBURG, SC
ZIP 29302-604
Phone: (864) 582-7773
Fax: (864) 582-8637

The provider's authorized official is Tracey Jackson .
The authorized official title is Executive Director and has the following contact phone number (864) 582-7773.

The CLIA number assigned to this NPI record is 42D1075868 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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