Provider Demographics
NPI:1679125439
Name:BRITT, TERESA (PA-C)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:BRITT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 FARRINGTON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9900
Mailing Address - Country:US
Mailing Address - Phone:984-528-7215
Mailing Address - Fax:984-528-7215
Practice Address - Street 1:5915 FARRINGTON RD STE 105
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9900
Practice Address - Country:US
Practice Address - Phone:984-528-7215
Practice Address - Fax:984-528-7215
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1780606855Medicaid