Whalio Doctors

NPI 1013977636

Myra Lynn Teasley, MD

Practitioner Specialist Raleigh, NC

Practice location

Address
4414 Lake Boone Trl Suite 300, Raleigh, NC 27607-7513
Phone
(919) 781-5510
Fax
(919) 781-5053
Mailing address
7628 Rainwater Rd, Raleigh, NC 27615-3745

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 32181 (NC)

Registry record

NPI
1013977636
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Mar 2006
Record last updated
30 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.