Healthcare Provider Details

I. General information

NPI: 1811949324
Provider Name (Legal Business Name): PIEDMONT ONCOLOGY SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W T HARRIS BLVD SUITE 5203
CHARLOTTE NC
28262
US

IV. Provider business mailing address

101 W T HARRIS BLVD SUITE 5203
CHARLOTTE NC
28262
US

V. Phone/Fax

Practice location:
  • Phone: 704-593-0244
  • Fax: 704-547-8859
Mailing address:
  • Phone: 704-593-0244
  • Fax: 704-547-8859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANNE CALDWELL BARNES
Title or Position: MGR
Credential: MBA, MHA
Phone: 704-593-0244