Michael Joseph Tebalt III, MD

NPI #1508968934 in Seneca, South Carolina

Provider Information

NPI Number: 1508968934
Entity Type: Individual
Name: Michael Joseph Tebalt III, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Sep 5, 2006
Last Updated: Jun 25, 2015

Practice Location

Address: 298 MEMORIAL DR
City: Seneca
State: South Carolina
ZIP Code: 29672-9443
Phone: (864) 885-7532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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