Teena Jose Antony

NPI #1386141323 in Mocksville, North Carolina

Provider Information

NPI Number: 1386141323
Entity Type: Individual
Name: Teena Jose Antony
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Apr 6, 2018
Last Updated: Jul 28, 2021

Practice Location

Address: 154 GOVERNMENT CENTER DR
City: Mocksville
State: North Carolina
ZIP Code: 27028-6299
Phone: (336) 753-6750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
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