Sreelakshmi Chettoor Janardhanan, | |
101 Clinic Dr, Tarboro, NC 27886-1935 | |
(252) 823-2105 | |
Not Available |
Full Name | Sreelakshmi Chettoor Janardhanan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 101 Clinic Dr, Tarboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972117786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2023-01837 (North Carolina) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Sreelakshmi Chettoor Janardhanan, 1116 Fowler Dr, Greenville, NC 27834-3335 Ph: (732) 646-1451 | Sreelakshmi Chettoor Janardhanan, 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 |
Dr. Jon Dubose, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 Fax: 252-641-7313 | |
Dr. Gregory Jay Stark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 Fax: 252-823-3164 | |
Ada Williams-wooten, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-2105 |