MEDICARE: PIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES PA

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
1	208000000X	Pediatrics Physician
2	207R00000X	Internal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1851362503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES PA

Provider Business Mailing Address
First Line	:	640 SUMMIT CROSSING PL
Second Line	:	STE 204
City	:	GASTONIA
State	:	NC
Zip	:	28054-2142
Country	:	US
Telephone Number	:	704-865-0626
Fax Number	:	704-865-6531

Provider Business Practice Location Address
First Line	:	640 SUMMIT CROSSING PL
Second Line	:	STE 204
City	:	GASTONIA
State	:	NC
Zip	:	28054-2142
Country	:	US
Telephone Number	:	704-865-0626
Fax Number	:	704-865-6531

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	AMY DELLINGER
Credential	:
Telephone Number	:	704-865-0626

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	09/25/2023

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Directions to “PIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES PA ” Practice Location

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