Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE SCOTT DERSE, MD
ActiveDR. THEODORE SCOTT DERSE, MD is a Family Medicine healthcare provider located in ZEBULON, North Carolina. NPI 1336254515 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ZEBULON, NC
Registration Details
- NPI Number
- 1336254515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (19.969904532628 yrs)
- Last Updated
- Mar 25, 2024
- Licenses
-
34915 (WI)036139601 (IL)2022-01023 (NC)
Practice Information
- Address
-
1260 N ARENDELL AVEZEBULON, NC, 275978730Browse NC providers · Browse ZIP 27597
- Phone
- 9192351965
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in ZEBULON, NC
| Name | Credential | NPI |
|---|---|---|
| DR. MARCELLA T MCCORD | MD | 1558418814 |
| DR. CHRISTOPHER MICHAEL WOZNIAK | D.O. | 1326488818 |
| HENRY LAWRENCE MASCARENHAS | DNP | 1023796406 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.