Provider Demographics
NPI:1083424675
Name:BORDEAUX, TAMEKIA LEKEYIA
Entity type:Individual
Prefix:
First Name:TAMEKIA
Middle Name:LEKEYIA
Last Name:BORDEAUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 WINTER WALK CIR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7084
Mailing Address - Country:US
Mailing Address - Phone:910-233-1246
Mailing Address - Fax:
Practice Address - Street 1:2126 WINTER WALK CIR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7084
Practice Address - Country:US
Practice Address - Phone:910-233-1246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program