| Doctor Name: | MRS. TERI MARLA FRIEDMAN REID |
| NPI Number: | 1861461550 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 9600080 |
| Business Practice Address: | 13531 Nc Highway 55 Bayboro, NC - 285150000 |
| Business Phone Number: | 2627452070 |
| Business Fax Number: | 2527452202 |
| Mailing Address: | Po Box 416, BAYBORO |
| State: | NC |
| Postal Code: | 285150416 |
| Phone Number: | 2527452070 |
| Fax Number: | 2527452202 |
| NPI Enumeration Date: | 03/15/2006 |
| NPI Last Update Date: | 04/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 9600080 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |