Online ID Request

Piedmont Pathology Associates - Serving the Catawba Valley for over 30 years.

Online ID Request

Please enter all information requested to have a 4Medica ID created, modified or deleted.

To modify an exisiting account:
Select modify, enter the users name and indicate changes in the comments section of the form.

To delete an existing account:

Select Delete and enter the users name.

Practice Name:
Requestor Name:
Phone Number:
Email Address:
Account Type:	Add New Provider (Physicians, PA's, etc.)
	Add New Staff (Nursing and other staff.)
	Modify Existing Account
	Delete Existing Account
User First Name:
User Last Name:
Position/Title:
Comments:

Piedmont Pathology Associates, Inc. - 1899 Tate Boulevard SE - Suite 1105 - Hickory - North Carolina - 28602

Phone: (828) 322-3821 Toll Free (888) 339-8147 Fax: (828) 322-1122