Individual
MARLYN C TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12108 RANLEIGH CT, RALEIGH, NC 27613-5525
(919) 846-6625
Mailing address
12108 RANLEIGH CT, RALEIGH, NC 27613-5525
(919) 846-6625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0303059
NC
Other
Enumeration date
01/12/2006
Last updated
05/02/2008
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