Individual
LILLIAN M. TEIGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6324 FAIRVIEW RD, SUITE 201, CHARLOTTE, NC 28210-3271
(704) 384-0588
(704) 384-0580
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31663
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82344
BCBS OF NC
NC
05
—
8982344
—
NC
05
—
N31663
—
SC
Enumeration date
03/15/2006
Last updated
01/02/2013
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