Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Extended Care Physicians - Piedmont, PA

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1417013988

Extended Care Physicians - Piedmont, PA is a Geriatric Medicine (Family Medicine) Physician in Hickory, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2359 Springs Rd NE
Hickory, NC 28601-3067
Phone: (828) 358-0017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 31342 (NC)

Record details

NPI number1417013988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Gleeson-Warren — Director Of Credentialing · (828) 210-2678
NPI enumeratedDecember 29, 2006
Last updated in NPPESMarch 19, 2014
Mailing addressPo Box 890308, Charlotte, NC 28289-0308

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