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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

NPI # 1699290510
LBN Legal business name PIEDMONT SPECIALTY HOSPITAL BILLING LLC
Authorized official CHRISTY AQUINO - (DIRECTOR OF PROVIDER ENORLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2017
Last updated 02/06/2023 - About 3 years ago
Identifiers
GA Medicaid 003202949A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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