Piedmont Cosmetic Surgery And Dermatology Center, Pa

LBN: Piedmont Cosmetic Surgery And Dermatology Center, Pa
Piedmont Cosmetic Surgery And Dermatology Center, Pa is an health care organization with primary practice located at 765 Highland Oaks Dr Suite 100, Winston Salem NC 27103-7101. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Piedmont Cosmetic Surgery And Dermatology Center, Pa can be contacted via phone (336) 760-4004, or through Shandra, Renee A via phone (336) 760-4004.

Contact Information

Primary practice address
765 Highland Oaks Dr Suite 100 Winston Salem NC 27103-7101
Phone: (336) 760-4004
Fax: (336) 760-6632
Website:
Map and Directions
Authorized official contact:
Name: Shandra, Renee A
Phone: (336) 760-4004

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 400362 North Carolina

Profile Details

NPI number 1356440663
LBN Legal business name Piedmont Cosmetic Surgery And Dermatology Center, Pa
DBA Doing business as
Authorized official Shandra, Renee A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jan 7th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356440663 NPPES
North Carolina MEDICAID 890238H

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