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Contact Information

PIEDMONT RADIATION ONCOLOGY P A
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC27103-3013
 Phone: 336-718-8592
 Fax: 336-718-9269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PIEDMONT RADIATION ONCOLOGY P A

NPI # 1134219108
LBN Legal business name PIEDMONT RADIATION ONCOLOGY P A
Authorized official KELLI REARDON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 02/23/2024 - About 2 years ago
Identifiers
NC Medicaid 89011GX
NY Other 011GX NC BLUE CROSS BLUE SHIELD
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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