Healthcare Provider Details

I. General information

NPI: 1073661732
Provider Name (Legal Business Name): PIEDMONT PHYSICAL MEDICINE & REHABILITATION, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 SAINT FRANCIS DR SUITE 350
GREENVILLE SC
29601-3965
US

IV. Provider business mailing address

317 SAINT FRANCIS DR SUITE 350
GREENVILLE SC
29601-3965
US

V. Phone/Fax

Practice location:
  • Phone: 864-235-1834
  • Fax: 864-235-2486
Mailing address:
  • Phone: 864-235-1834
  • Fax: 864-235-2486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number11976
License Number StateSC

VIII. Authorized Official

Name: DR. ROBERT SCHWARTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 864-235-1834