Provider Demographics
NPI:1659543577
Name:TODD, REBECCA WRIGHT (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:WRIGHT
Last Name:TODD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2238 NELSON HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8914
Mailing Address - Country:US
Mailing Address - Phone:919-401-1994
Mailing Address - Fax:
Practice Address - Street 1:1210 CENTRAL DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4160
Practice Address - Country:US
Practice Address - Phone:919-776-5286
Practice Address - Fax:919-774-4226
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN390200000X
NC2012-00191207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program