Provider Demographics
NPI:1073661732
Name:PIEDMONT PHYSICAL MEDICINE & REHABILITATION, P.A.
Entity Type:Organization
Organization Name:PIEDMONT PHYSICAL MEDICINE & REHABILITATION, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-235-1834
Mailing Address - Street 1:317 SAINT FRANCIS DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3965
Mailing Address - Country:US
Mailing Address - Phone:864-235-1834
Mailing Address - Fax:864-235-2486
Practice Address - Street 1:317 SAINT FRANCIS DR
Practice Address - Street 2:SUITE 350
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3965
Practice Address - Country:US
Practice Address - Phone:864-235-1834
Practice Address - Fax:864-235-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11976208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty