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Individual

VIYAN UDAWATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
166 SPRINGBROOK AVE STE 105, CLAYTON, NC 27520-8520
(919) 791-2040
Mailing address
166 SPRINGBROOK AVE STE 105, CLAYTON, NC 27520-8520
(919) 791-2040

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2020-01876
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2013
Last updated
07/14/2020
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