# TDMD PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TDMD Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629658802
- **Authorized official:** DR. THUSITHA R DISSANAYAKE MD (OWNER/MANAGING MEMEBER)
- **Authorized official phone:** (919) 760-5228

## Contact information

- **Practice address:** 1001 PEMBERTON HILL RD STE 202, APEX, NC 27502-4265
- **Practice address phone:** (919) 760-5228
- **Mailing address:** 1100 S ALODIE CT, APEX, NC 27502-5235
- **Mailing address phone:** (919) 760-5228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2021
- **Last updated:** 04/17/2021