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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY DERRICK TALLENT, PAC

Active

GREGORY DERRICK TALLENT, PAC is a Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1982716585 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RALEIGH, NC

Registration Details

NPI Number
1982716585
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.948089359878 yrs)
Last Updated
Nov 23, 2021
Licenses
021664 (NY)
1020 (SC)
001000359 (NC)
0010-00359 (NC)

Practice Information

Address
4420 LAKE BOONE TRL
RALEIGH, NC, 276077505
Browse NC providers · Browse ZIP 27607
Phone
9197843100
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in RALEIGH, NC

Name Credential NPI
MICHAEL EDWARD WIEGERT PA-C 1104822592
ELIZABETH FULLER PA 1144228008
PAMELA BURLESON PA-C 1447258306
I-LING YU PA-C 1477551364
MRS. ELIZABETH JAYNES TURNER PA-C 1134127905
MR. DANA W JOHNSON PA-C 1659379428
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.