Individual
TEDRICK VERNON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
112 WATER LILY CIR, GARNER, NC 27529-6710
(336) 451-9204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
226494
NC
Other
Enumeration date
08/03/2018
Last updated
04/17/2026
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