Tallis Leak, MD, DO
Tallis Leak, MD, DO is a Driver in Raleigh, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
Practice location Address checks out
2940 Trawick Rd Ste 4Raleigh, NC 27604-3770
Phone: (919) 332-9235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1669140406 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , DO |
| Sole proprietor | Yes |
| NPI enumerated | September 4, 2021 |
| Last updated in NPPES | September 4, 2021 |
| Certification date | September 3, 2021 |
| Mailing address | 2940 Trawick Rd Ste 4, Raleigh, NC 27604-3770 |
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