Organization · NPI-2

Mid Atlantic Neurology & Sleep Medicine, P.A.

Psychiatry & Neurology, Neurology · Jacksonville, NC

NPI number1669708665
StatusActive
Last updated in NPPESOct 26, 2009

Details

NPI
1669708665
Entity type
Organization (NPI-2)
Legal business name
Mid Atlantic Neurology & Sleep Medicine, P.A.
Organization subpart
Yes
Enumeration date
Oct 26, 2009
Last updated
Oct 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes
207RS0012X Internal Medicine, Sleep Medicine––

Practice location

227 Memorial Dr
Jacksonville, NC 28546-6333

Phone 910-353-3624 · Fax 910-353-0050

Mailing address

Po Box 12067
New Bern, NC 28561-2067

Authorized official

Khaled F Jreisat
President
2524743863

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