Provider Demographics
NPI:1922110931
Name:TEPLIN, STUART W (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:W
Last Name:TEPLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:514 BAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9123
Mailing Address - Country:US
Mailing Address - Phone:919-933-0079
Mailing Address - Fax:919-968-3999
Practice Address - Street 1:1046 E WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6712
Practice Address - Country:US
Practice Address - Phone:336-272-1050
Practice Address - Fax:336-272-0155
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC22981208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8982412Medicaid
NC82412OtherBCBS NC
NC82412OtherBCBS NC
NCC89550Medicare UPIN