TALLIS LEAK MD,DO
NPI 1669140406
Driver in Raleigh, NC
About Tallis Leak Md,do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TALLIS LEAK MD,DO (NPI 1669140406) is an individual driver provider in Raleigh, North Carolina and active in the NPI registry since September 2021.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tallis Leak's NPI number?
The NPI number for Tallis Leak is 1669140406. It was assigned to this individual provider in the NPPES registry on September 4, 2021.
Where is Tallis Leak located?
Tallis Leak practices at 2940 Trawick Rd Ste 4, Raleigh, NC 27604. The listed phone number is (919) 332-9235.
What is Tallis Leak's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Tallis Leak was last updated on September 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tallis Leak, MD,DO · NPI 1669140406
Driver provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since September 4, 2021.
## Identity
- **NPI:** 1669140406 (Entity type: Individual)
- **Enumerated:** September 4, 2021
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2940 TRAWICK RD STE 4, Raleigh, NC 27604-3770
- **Phone:** (919) 332-9235
## Record status
- **NPPES last updated:** September 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669140406) · Data from the CMS NPPES public registry.