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General NPI Number Information
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NPI Number | 1558311761
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Entity Type | Organization
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Legal Business Name | PIEDMONT HEALTH GROUP, LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 303 W ALEXANDER AVE
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City | GREENWOOD
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State | SC
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Zip | 29646-4046
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Country | US
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Telephone | 864-227-5240
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Fax | 864-227-5239
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Provider Business Mailing Address
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Address Line | PO BOX 1136
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City | GREENWOOD
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State | SC
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Zip | 29648-1136
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Country | US
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Telephone | 864-227-5240
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Fax | 864-227-5239
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRET J WARNER
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Credential | M.D.
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Telephone | 864-227-5240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 18466
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License Number State | SC
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