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NPI Code Detail

MEDICARE: PIEDMONT WALTON HOSPITAL INC

MEDICARE: PIEDMONT WALTON HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital147-613GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720589328
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIEDMONT WALTON HOSPITAL INC
Provider Business Mailing Address
First Line : 2727 PACES FERRY RD SE STE 2-920
Second Line :
City : ATLANTA
State : GA
Zip : 30339-4053
Country : US
Telephone Number : 770-267-8461
Fax Number :
Provider Business Practice Location Address
First Line : 2151 W SPRING ST
Second Line :
City : MONROE
State : GA
Zip : 30655-3202
Country : US
Telephone Number : 770-267-8461
Fax Number : 770-267-1888
Authorized Official
Title or Position : VP, GOVERNMENT REIMBURSEMENT
Name : MR. ROBERT C CROSS
Credential :
Telephone Number : 470-271-3401
Provider Enumeration Date : 02/28/2018
Last Update Date : 02/26/2024

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Directions to “PIEDMONT WALTON HOSPITAL INC ” Practice Location

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