Healthcare Provider Details
I. General information
NPI: 1811977655
Provider Name (Legal Business Name): PIEDMONT NEPHROLOGY AND HYPERTENSION PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/18/2006
Last Update Date: 08/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
199 SPOTNAP RD SUITE 1
CHARLOTTESVILLE VA
22911-8827
US
IV. Provider business mailing address
PO BOX 1583
CHARLOTTESVILLE VA
22902-1583
US
V. Phone/Fax
- Phone: 434-971-8888
- Fax: 434-296-6734
- Phone: 434-982-7794
- Fax: 434-982-7752
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CONSTANCE
B
CHRIST
Title or Position: OWNER
Credential: MD, PHD
Phone: 434-971-8888