Individual
JAGANNATH SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 PINEYWOOD RD, THOMASVILLE, NC 27360-3438
(336) 474-8921
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2015-01184
NC
2084P0800X
Psychiatry Physician
275581
NY
Other
Enumeration date
04/22/2011
Last updated
10/26/2020
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