| NPI | 1952830804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURIYA JAYAWARDENA Owner 919-718-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-07-21 |