Individual
TERESA A MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
350 N COX ST, SUITE 6, ASHEBORO, NC 27203-5514
(336) 629-2201
(336) 629-2205
Mailing address
350 N COX ST, SUITE 6, ASHEBORO, NC 27203-5514
(336) 629-2201
(336) 629-2205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
600028
NC
363LG0600X
Gerontology Nurse Practitioner
65269
NC
Other
Enumeration date
02/14/2007
Last updated
10/20/2011
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