Kathy Jackson Teasdall in Winston Salem - Otolaryngology

Kathy Jackson Teasdall - NPI 1962448704

Kathy Jackson Teasdall is a Otolaryngology in Winston Salem, North Carolina. Kathy Jackson Teasdall practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kathy Jackson Teasdall is 1962448704. The last update date is 2013-06-20.

Kathy Jackson Teasdall's current location address is 755 Highland Oaks Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367681037 and fax number 3367689141. The mailing address for Kathy Jackson Teasdall is 755 Highland Oaks Dr, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathy Jackson Teasdall
Address 755 Highland Oaks Dr, Winston Salem, North Carolina
Phone Number 3367681037
Fax Number 3367689141
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1962448704
Provider Enumeration Date 2006-06-21
Last Updated Date 2013-06-20

Provider Mailing Address Detail

Address 755 Highland Oaks Dr
City Winston Salem
State North Carolina (NC)
Post Code 271037106
Phone Number 3367681037
Fax Number 3367689141

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 9400157
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8982338 NC --

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FAQs about Kathy Jackson Teasdall

What is the unique identification code assigned to Kathy Jackson Teasdall by the Centers for Medicare & Medicaid Services?

The Kathy Jackson Teasdall has been issued the NPI (National Provider Identifier) 1962448704. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kathy Jackson Teasdall?

The Kathy Jackson Teasdall is situated at 755 Highland Oaks Dr, in the city of Winston Salem, state of NC, with the zip code 271037106.

What is Kathy Jackson Teasdall's area of expertise and its corresponding taxonomy classification?

The Kathy Jackson Teasdall's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962448704 to Kathy Jackson Teasdall?

The Centers for Medicare & Medicaid Services originally issued the 1962448704 to Kathy Jackson Teasdall on 2006-06-21.

When was the information pertaining to Kathy Jackson Teasdall most recently updated or revised?

The details related to Kathy Jackson Teasdall, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-20.

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