Gregory Derrick Tallent in Raleigh - Physician Assistant
Gregory Derrick Tallent - NPI 1982716585
Gregory Derrick Tallent is a Physician Assistant in Raleigh, North Carolina. Gregory Derrick Tallent practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory Derrick Tallent is 1982716585. The last update date is 2021-11-23.
Gregory Derrick Tallent's current location address is 2500 Blue Ridge Rd Ste 417, Raleigh, North Carolina. You can contact this provider via phone number 9197879097. The mailing address for Gregory Derrick Tallent is 2500 Blue Ridge Rd Ste 417, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Derrick Tallent |
|---|---|
| Address | 2500 Blue Ridge Rd Ste 417, Raleigh, North Carolina |
| Phone Number | 9197879097 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1982716585 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 2500 Blue Ridge Rd Ste 417 |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276077516 |
| Phone Number | 9197879097 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 21664 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP1062 | SC | -- | |
| 2914 | NC | NC BCBS | |
| 1020 | SC | MEDICAL LICENSE | |
| 8902914 | NC | -- | |
| CM7718 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory Derrick Tallent by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Derrick Tallent has been assigned the NPI (National Provider Identifier) 1982716585. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Gregory Derrick Tallent's facilities are geographically located?
The facilities of Gregory Derrick Tallent are physically situated at the following location: 2500 Blue Ridge Rd Ste 417, Raleigh, NC, 276077516.
What is the area of specialization for Gregory Derrick Tallent, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory Derrick Tallent is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Gregory Derrick Tallent receive its 1982716585?
The Gregory Derrick Tallent was issued its 1982716585 on 2006-08-31, which is the date when the organization was assigned this unique identifier.
When was the information related to Gregory Derrick Tallent most recently updated or refreshed?
The details pertaining to the Gregory Derrick Tallent, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-23.
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