Individual
CHRISTY BRADLEY TEACHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
333 WHITESPORT DR SW, SUITE 104, HUNTSVILLE, AL 35801-6454
(256) 880-0376
(256) 880-0395
Mailing address
25535 CALDERA DR, ATHENS, AL 35613-8346
(520) 360-2143
(256) 880-0395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-137029
AL
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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