Individual
TERESITA YAP NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12311 COPPER WAY, SUITE 200, CHARLOTTE, NC 28277-3642
(704) 541-8788
(704) 541-1069
Mailing address
PO BOX 602478, CHARLOTTE, NC 28260-2478
(704) 541-8788
(704) 541-1069
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
009400594
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699739136
—
NC
05
—
8962092
—
NC
Enumeration date
04/13/2006
Last updated
06/11/2014
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