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Individual

ALFONZA TEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
3100 DURALEIGH RD STE 100, RALEIGH, NC 27612-8105
(919) 788-8797
(919) 313-1276
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
003624
NY
363A00000X
Physician Assistant
Primary
0010-06410
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003624
AETNA
01
P334556
OXFORD
Enumeration date
08/23/2005
Last updated
06/27/2016
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