Individual
MRS. TARA CREIGHTON COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4414 LAKE BOONE TRL, STE.300, RALEIGH, NC 27607-7513
(919) 781-5510
(919) 781-5053
Mailing address
4414 LAKE BOONE TRL, STE. 300, RALEIGH, NC 27607-7513
(919) 781-5510
(919) 781-5053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2009-0000
NC
Other
Enumeration date
05/01/2007
Last updated
04/18/2017
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