| NPI | 1629658802 |
|---|---|
| Other Name | TDMD PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | THUSITHA R DISSANAYAKE Owner/Managing Memeber 919-760-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-17 |