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Individual
NATHAN LYNN TEAGUE
Active
Individual
NATHAN LYNN TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
30279
MS
207L00000X
Anesthesiology Physician
Primary
93281
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/01/2018
Last updated
09/24/2024
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