# DR. DANA DELORES TEAGARDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336238682
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | DO1550 | TN | — |
| 207V00000X | Obstetrics & Gynecology Physician | OS15395 | FL | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 01/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100191000 | — | FL |
| 01 | — | 4066101 | BLUE CROSS BLUE SHIELD | TN |
| 01 | — | 4283643 | BLUE CROSS BLUE SHIELD OF TENNESSEE | TN |
