Individual
ABIGAIL WALSER TERKELTOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2709 BLUE RIDGE RD STE 320, RALEIGH, NC 27607-6462
(919) 876-7692
Mailing address
1428 LEGACY FALLS DR APT 302, WAKE FOREST, NC 27587-1863
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-09210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-09210
NORTH CAROLINA MEDICAL BOARD
NC
01
—
1161932
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
—
Enumeration date
06/21/2019
Last updated
06/21/2019
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