Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TALLIS LEAK, MD,DO
Active Sole ProprietorTALLIS LEAK, MD,DO is a Driver healthcare provider located in RALEIGH, North Carolina. NPI 1669140406 is currently active in the NPPES registry. Verify at CMS.
Driver · RALEIGH, NC
Registration Details
- NPI Number
- 1669140406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2021 (4.9629872730635 yrs)
- Last Updated
- Sep 4, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
2940 TRAWICK RD STE 4RALEIGH, NC, 276043770Browse NC providers · Browse ZIP 27604
- Phone
- 9193329235
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MS. AUDREY SUZZETTE TURNAGE | — | 1275816662 |
| MS. KATISHA DEANNA BRANCH | — | 1255603536 |
| KIARA WILLIAMS | — | 1033568530 |
| TERRY LEWIS PETTUS I | — | 1841778206 |
| DEIUS EVANS | — | 1124679758 |
| RONALD L BLACKWELL | — | 1053939736 |
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.