Individual
DEBRA RENEE TEGELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 CHARLOIS BLVD, WINSTON-SALEM, NC 27103-1508
(336) 718-1000
(336) 718-1050
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820
(336) 718-1050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8982332
—
NC
Enumeration date
03/28/2006
Last updated
02/07/2013
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