| Organization Name: | PIEDMONT MEDICAL SUPPLY INC |
| NPI Number: | 1073976452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA S WARMUTH (SEC /TRES - OFFICE MANAGER) |
| Mailing Address: | 184 Boone Heights Drive Boone |
| State: | NC US |
| Postal Code: | 286074953 |
| Phone Number: | 8283866250 |
| Fax Number: | 8283866253 |
| NPI Enumeration Date: | 04/01/2016 |
| NPI Last Update Date: | 04/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | C18040 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |