Organization
MID ATLANTIC NEUROLOGY & SLEEP MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED F JREISAT MD (PRESIDENT)
(910) 353-3624
Entity
Organization
Contact information
Practice address
34 OFFICE PARK DR STE 100, JACKSONVILLE, NC 28546-3221
(910) 353-3624
(910) 353-0550
Mailing address
34 OFFICE PARK DR STE 100, JACKSONVILLE, NC 28546-3221
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
27377
NC
Other
Enumeration date
10/08/2009
Last updated
06/12/2017
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