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Organization
PRIYAN SAMARAKOON PLLC
Active
Organization
PRIYAN SAMARAKOON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYAN SAMARAKOON MD (MEMBER)
(910) 534-4434
Entity
Organization
Contact information
Practice address
200 NORTH MAIN STREET, CLIO, SC 29525
(843) 586-2292
(843) 306-4622
Mailing address
11560 FAIRWAY DR, LAURINBURG, NC 28352-7958
(910) 534-4434
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
NC - 2009-01120
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
SC - MD 28542
SC
207RP1001X
Pulmonary Disease Physician
NC - 2009-01120
NC
207RP1001X
Pulmonary Disease Physician
Primary
SC - MD 28542
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
NC - 2009-01120
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
SC - MD 28542
SC
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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