| Organization Name: | PIEDMONT FAMILY PRACTICE LLC |
| NPI Number: | 1437208790 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA G MILLER (OFFICE MANAGER) |
| Mailing Address: | 115 Beattie Park Rd Piedmont |
| State: | SC US |
| Postal Code: | 296731410 |
| Phone Number: | 8648453331 |
| Fax Number: | 8648453152 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |