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Organization

PIEDMONT UROLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANAKA A HETTIARACHCHI D.O. (OWER)
(336) 838-5655
Entity
Organization

Contact information

Practice address
1915 W PARK DR, SUITE 101, NORTH WILKESBORO, NC 28659-3511
(336) 838-5655
(336) 838-7556
Mailing address
1915 W PARK DR, SUITE 101, NORTH WILKESBORO, NC 28659-3511
(336) 838-5655
(336) 838-7556

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
NC

Other

Enumeration date
11/06/2007
Last updated
11/06/2007
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