Provider Demographics
NPI:1578728333
Name:PIEDMONT MEDICAL, INC.
Entity Type:Organization
Organization Name:PIEDMONT MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:W
Authorized Official - Last Name:WURDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-386-1040
Mailing Address - Street 1:PO BOX 1278
Mailing Address - Street 2:500 KAPP STREET
Mailing Address - City:DOBSON
Mailing Address - State:NC
Mailing Address - Zip Code:27017-1278
Mailing Address - Country:US
Mailing Address - Phone:336-386-1040
Mailing Address - Fax:336-386-1041
Practice Address - Street 1:500 W KAPP ST
Practice Address - Street 2:
Practice Address - City:DOBSON
Practice Address - State:NC
Practice Address - Zip Code:27017-8829
Practice Address - Country:US
Practice Address - Phone:336-386-1040
Practice Address - Fax:336-386-1041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies