OrganizationActive
Piedmont Adult & Pediatric Medicine Associates, PA
NPI 1134462633 · Non-Pharmacy Dispensing Site · Gastonia, NC
Provider details
- NPI number
- 1134462633
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Authorized official
- Kenny Heine, Vp of Operations
- License
- 9500419 (NC)
Practice location
640 Summit Crossing Pl
Suite 204
Gastonia, NC 28054-2138
Phone: (704) 865-0626
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2013-04-03
- Last updated
- 2013-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.