Individual
CASEY CHRISTINE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MERRYMOUNT DR, SIMPSONVILLE, SC 29681-5011
(864) 887-6316
Mailing address
10 MERRYMOUNT DR, SIMPSONVILLE, SC 29681-5011
(864) 887-6316
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
52586
SC
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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