Provider Demographics
NPI:1366757262
Name:MCINTEE, TONYA RENEE (BA)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:RENEE
Last Name:MCINTEE
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 CHAPEL HILL RD
Mailing Address - Street 2:APT 9C
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3767
Mailing Address - Country:US
Mailing Address - Phone:919-381-4581
Mailing Address - Fax:
Practice Address - Street 1:923 BROAD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4141
Practice Address - Country:US
Practice Address - Phone:919-220-4224
Practice Address - Fax:919-220-7390
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator