Doctor Name: | MS. TERESA D HAGGARD |
NPI Number: | 1427198613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 200439 |
Business Practice Address: | 2101 Shiloh Church Rd Suite 202 Davidson, NC - 280367603 |
Business Phone Number: | 7044393770 |
Business Fax Number: | 7044393779 |
Mailing Address: | 2101 Shiloh Church Rd, Suite 202 DAVIDSON |
State: | NC |
Postal Code: | 280367603 |
Phone Number: | 7044393770 |
Fax Number: | 7044393779 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 200439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |