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Contact Information

PIEDMONT SPECIALTY HOSPITAL BILLING LLC
1266 HIGHWAY 515 S
JASPER, GA30143-4872
 Phone: 770-801-2500
 Fax: 770-803-2121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for PIEDMONT SPECIALTY HOSPITAL BILLING LLC · (Female)

NPI Number 1699290510
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2017
Last updated 02/06/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 003202949A
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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