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PIEDMONT GASTRONETEROLOGY PA NPI 1184693061


NPI Information

NPI: 1184693061
Provider Name: PIEDMONT GASTRONETEROLOGY PA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 42D1009068

Address:
9 HAWTHORNE PARK CT
GREENVILLE, SC
ZIP 29615
Phone: (864) 286-1040
Get Directions

PIEDMONT GASTRONETEROLOGY PA is a gastroenterology internal medicine in Greenville, SC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PIEDMONT GASTRONETEROLOGY PA NPI is 1184693061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 HAWTHORNE PARK CT
GREENVILLE, SC
ZIP 29615-194
Phone: (864) 286-1040
Fax: (864) 286-1090

The provider's authorized official is Terrie Huggins Walker .
The authorized official title is Adminsitrator and has the following contact phone number (864) 286-1040.

The CLIA number assigned to this NPI record is 42D1009068 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 11/6/2007.


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
1207RG0100XInternal MedicineGastroenterologySOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15105MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
2GP1375MEDICAIDSOUTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.