Individual provider · Type 1 NPI

Myra Lynn Teasley, MD

Specialist · Raleigh, NC

NPI number 1013977636 Active

Practice location

4414 Lake Boone Trl, Suite 300
Raleigh, NC 27607-7513

Call (919) 781-5510 Map

Fax (919) 781-5053

Mailing address

7628 Rainwater Rd
Raleigh, NC 27615-3745

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X32181 (NC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013977636

Myra Lynn Teasley, MD's National Provider Identifier is 1013977636, issued on Mar 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Mar 30, 2015.