Provider Demographics
NPI:1669204616
Name:PIEDMONT HOSPITAL
Entity type:Organization
Organization Name:PIEDMONT HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGERON
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILIAMS IV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-746-2770
Mailing Address - Street 1:114A SUTHERLIN DR APT 2309
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2259
Mailing Address - Country:US
Mailing Address - Phone:831-245-7222
Mailing Address - Fax:
Practice Address - Street 1:350 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-3838
Practice Address - Country:US
Practice Address - Phone:478-746-2770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital