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NPI Code Detail

MEDICARE: DR. DONALD ROBERT TEATER M.D.

MEDICARE: DR. DONALD ROBERT TEATER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician30744NC
2208D00000XGeneral Practice Physician30744NC
32084A0401XAddiction Medicine (Psychiatry & Neurology) Physician30744NC

General Provider Information

NPI Number : 1699769224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD ROBERT TEATER M.D.
Provider Business Mailing Address
First Line : 220 5TH AVE E
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-4377
Country : US
Telephone Number : 828-692-4289
Fax Number : 828-696-1794
Provider Business Practice Location Address
First Line : 1207 EAST ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3438
Country : US
Telephone Number : 828-631-3973
Fax Number : 828-631-9280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 11/14/2024

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