| Peter Joseph Domenig, DO | |
|
911 W Henderson St Ste 110, Salisbury, NC 28144-2700 | |
| (704) 633-9441 | |
| (704) 637-9006 |
| Full Name | Peter Joseph Domenig |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 911 W Henderson St Ste 110, Salisbury, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134618945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 2023-00894 (North Carolina) | Primary |
| Entity Name | Piedmont Stone Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700827409 PECOS PAC ID: 2961315718 Enrollment ID: O20031107000688 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Joseph Domenig, DO Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 633-9441 | Peter Joseph Domenig, DO 911 W Henderson St Ste 110, Salisbury, NC 28144-2700 Ph: (704) 633-9441 |
Dr. Wayne Allen Cline Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 | |
Atlee Rollins Johnson Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 | |
Vance F Merhoff, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 Fax: 704-637-9006 | |
Robert Alvin Bertram, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 911 W Henderson St, Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 Fax: 704-637-9006 | |
Jason Richard Greenlee, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 911 W Henderson St Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 Fax: 704-637-9006 | |
Dr. Robert Gene Moore, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 911 W Henderson St Ste 110, Salisbury, NC 28144 Phone: 704-633-9441 Fax: 704-637-9006 |