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Gregory Derrick Tallent, PAC
Physician Assistant in Raleigh, North Carolina
NPI 1982716585

Gregory Derrick Tallent is a Physician Assistant based in Raleigh, NC. Gregory Derrick Tallent practices in Raleigh, NC and has the professional credentials of PAC. The NPI Number for Gregory Derrick Tallent is 1982716585 and holds a License No. 021664 (North Carolina).

The current practice location address for Gregory Derrick Tallent is 4420 Lake Boone Trl, Raleigh, NC and can be reached out via phone at 919-784-3100.

Location: 4420 Lake Boone Trl, Raleigh, NC, 27607-7516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982716585
Provider Name
Gregory Derrick Tallent
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
4420 Lake Boone Trl, Raleigh, NC, 27607-7516
Phone Number
919-784-3100
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP1062 05 SC
02914 01 NC NC BCBS
1020 01 SC MEDICAL LICENSE
8902914 05 NC
CM7718 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4420 Lake Boone Trl
City
Raleigh
State
North Carolina
Zip
27607-7505
Phone Number
919-784-3100
Fax Number
person
Provider Business Mailing Address Details
Address
4420 Lake Boone Trl
City
Raleigh
State
North Carolina
Zip
27607-7505
Phone Number
919-784-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1020 (South Carolina)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
021664 (New York)
Definition
Definition to come...
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