Individual
DR. BRENT JASON THEILING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN RD, DUMC 3096, DURHAM, NC 27710
(919) 684-5537
Mailing address
2301 ERWIN RD, DUMC 3096, DURHAM, NC 27710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011-01439
NC
207P00000X
Emergency Medicine Physician
31534
SC
207P00000X
Emergency Medicine Physician
MT188928
PA
Other
Enumeration date
05/15/2007
Last updated
06/21/2012
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