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Individual

JULIE BARR TEDDER QUEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
200 HEALTH PARK DR STE 100, GARNER, NC 27529-4679
(919) 773-1223
(919) 773-1955
Mailing address
200 HEALTH PARK DR STE 100, GARNER, NC 27529-4679
(919) 773-1223
(919) 773-1955

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00820
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5902803
NC
Enumeration date
02/23/2007
Last updated
10/02/2019
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