Provider Demographics
NPI:1245520147
Name:CAMPANILE, TERESA JEAN (MD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:JEAN
Last Name:CAMPANILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 FOOTHILLS DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5152
Mailing Address - Country:US
Mailing Address - Phone:828-580-2700
Mailing Address - Fax:828-432-9833
Practice Address - Street 1:117 FOOTHILLS DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5152
Practice Address - Country:US
Practice Address - Phone:828-580-2700
Practice Address - Fax:828-432-9833
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-01552207R00000X
NY272953208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine