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NPI Code Detail

MEDICARE: DR. SU WOOI TEOH M.D.

MEDICARE:  DR. SU WOOI  TEOH  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
1207Y00000XOtolaryngology Physician200601952NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619033164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SU WOOI TEOH M.D.
Provider Business Mailing Address
First Line : 6318 POPLAR FOREST DR
Second Line :
City : SUMMERFIELD
State : NC
Zip : 27358-9339
Country : US
Telephone Number : 336-392-0350
Fax Number : 336-542-2017
Provider Business Practice Location Address
First Line : 3824 N ELM ST STE 201
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2733
Country : US
Telephone Number : 336-542-2015
Fax Number : 336-542-2017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2006
Last Update Date : 08/21/2019

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Directions to “ DR. SU WOOI TEOH M.D.” Practice Location

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