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Contact Information

EXTENDED CARE PHYSICIANS - PIEDMONT, PA
2359 SPRINGS RD NE
HICKORY, NC28601-3067
 Phone: 828-358-0017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EXTENDED CARE PHYSICIANS PIEDMONT PA · (Female)

NPI Number 1417013988
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2006
Last updated 03/19/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 31342
  • NC Medicaid 890172R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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