TALLIS LEAK MDDO NPI 1669140406

NPI Information

Tallis Leak, MD,DO is a driver in Raleigh, NC. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Tallis Leak, MD,DO NPI is 1669140406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2940 TRAWICK RD STE 4
RALEIGH, NC
ZIP 27604-770
Phone: (919) 332-9235

The enumeration date for this NPI number is 9/4/2021 and was last updated on 9/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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