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Individual

GUY V TEACH

Active
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Individual

GUY V TEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
047541
GA
207R00000X
Internal Medicine Physician
Primary
43045
TN
208M00000X
Hospitalist Physician
43045
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00832279B
GA
01
047541
STATE LICENSE
GA
05
3001320
TN
Enumeration date
11/08/2005
Last updated
01/19/2021
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