Individual
DR. EDDIE STUART TESSNEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2403 WOOTEN BLVD SW, SUITE E, WILSON, NC 27893-4463
(252) 291-1100
Mailing address
2403 WOOTEN BLVD SW, SUITE E, WILSON, NC 27893-4463
(252) 291-1100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1506
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04662
BCBS OF NC
NC
05
—
60-00054
—
NC
Enumeration date
03/27/2007
Last updated
07/09/2007
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