Whalio Doctors

NPI 1285929018

Piedmont Medical Care Corporation

Organisation Family Medicine Physician Smyrna, GA

Practice location

Address
1314 Concord Rd SE, Smyrna, GA 30080-4361
Phone
(770) 333-8889
Mailing address
PO Box 102321, Atlanta, GA 30368-4361

Authorised official

Name
Christy Aquino
Title
Director, Provider Enrollment
Phone
(470) 895-0214

Registered specialties (5)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X
Primary Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence RN130109 (GA)

Registry record

NPI
1285929018
Entity type
Organization
NPI issued
9 Jun 2011
Record last updated
11 Apr 2023

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.