Organization
MID ATLANTIC NEUROLOGY & SLEEP MEDICINE, P.A.
Active
Parent organization
MID ATLANTIC NEUROLOGY & SLEEP MEDICINE, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID ATLANTIC NEUROLOGY & SLEEP MEDICINE, P.A.
Authorized official
KHALED F JREISAT MD (PRESIDENT)
(252) 474-3863
Entity
Organization
Contact information
Practice address
227 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-3624
(910) 353-0050
Mailing address
PO BOX 12067, NEW BERN, NC 28561-2067
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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