NPI 1568474104 · live from the CMS NPI Registry
Teresa M Allen, D.O.
Family Medicine in Camp Lejeune, NC. National Provider Identifier 1568474104, active.
NPI record
| NPI | 1568474104 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 100 Brewster Blvd, Camp Lejeune, NC 28547 |
| Practice phone | 910-450-3142 |
| Mailing address | 939 Eton Dr, Jacksonville, NC 28546 |
| Enumerated | August 12, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 237365 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.