| Organization Name: | PIEDMONT ENDOSCOPY CENTER, INC. |
| NPI Number: | 1003858721 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE L WALLACE (ASSITANT ADMINISTRATOR) |
| Mailing Address: | 1901 S Hawthorne Rd Suite 308 Winston-salem |
| State: | NC US |
| Postal Code: | 271033921 |
| Phone Number: | 3367604340 |
| Fax Number: | 3367652869 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 10/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | AS0044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |