Individual
MR. CHARLES W TEVEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
12 E APPLEBY, SUITE 101, FAYETTEVILLE, AR 72703
(479) 463-4444
(479) 463-4499
Mailing address
12 E APPLEBY, SUITE 101, FAYETTEVILLE, AR 72703
(479) 463-4444
(479) 463-4499
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A01080
AR
Other
Enumeration date
08/12/2006
Last updated
04/22/2011
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