Piedmont Urology, Pllc

NPI #1104006311 in North Wilkesboro, North Carolina

Provider Information

NPI Number: 1104006311
Entity Type: Organization
Organization Name: Piedmont Urology, Pllc
Primary Specialty: Urology
Enumeration Date: Nov 6, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 1915 W PARK DR
Address 2: SUITE 101
City: North Wilkesboro
State: North Carolina
ZIP Code: 28659-3511
Phone: (336) 838-5655

Authorized Official

Name: DR. JANAKA A HETTIARACHCHI, D.O.
Title: OWER
Phone: (336) 838-5655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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