NPI 1093304156

Piedmont Triad Regional Development Corporation

Organisation Community Health Worker Kernersville, NC

Practice location

Address: 1398 Carrollton Crossing Dr, Kernersville, NC 27284-3896
Phone: (336) 904-0300
Fax: (336) 904-0336

Authorised official

Name: Matthew Dolge
Title: Executive Director
Phone: (336) 904-0300

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in North Carolina →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

Other Case Manager/Care Coordinator providers in North Carolina →

Registry record

NPI: 1093304156
Entity type: Organization
NPI issued: 13 Jan 2021
Record last updated: 13 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.