TIDA KUMBALASIRI LEE

JACKSONVILLE, NC
NPI1619105517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: NC  2022-02736)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: VA  0101248380)
Enumeration Date2009-06-30
Last Update Date2022-12-07
Business Address
Dr. TIDA KUMBALASIRI LEE M.D., Ph.D.
1000 BRABHAM AVE
JACKSONVILLE, NC 28546-5003
Phone number: 910-937-2570
Mailing Address
Dr. TIDA KUMBALASIRI LEE M.D., Ph.D.
1202 MEDICAL CENTER DR
WILMINGTON, NC 28401-7307
Phone number: 910-617-6705