Brentwood Clinic, P.a.

NPI #1497906051 in Wilson, North Carolina

Provider Information

NPI Number: 1497906051
Entity Type: Organization
Organization Name: Brentwood Clinic, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Oct 1, 2008
Last Updated: Oct 6, 2008

Practice Location

Address: 110 BRENTWOOD CENTER LN N
City: Wilson
State: North Carolina
ZIP Code: 27896-1710
Phone: (252) 291-8600

Authorized Official

Name: DR. MEDHAT FAHMY SIDAROS, M.D.
Title: OWNER/PRESIDENT
Phone: (252) 291-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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