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Contact Information

TEONDRA BANNERMAN
318 S SYCAMORE ST
ROSE HILL, NC28458
 Phone: 910-447-2509
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for TEONDRA BANNERMAN · (Female)

NPI Number 1487211827
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2019
Last updated 08/03/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # CADC-26186
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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