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Individual

WILLIAM TEAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 E 10TH ST, ANNISTON, AL 36207-4716
(256) 235-5121
Mailing address
2225 MADISON LOOP, SOUTHSIDE, AL 35907-7206
(256) 295-8909

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-181840
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/06/2025
Last updated
04/09/2025
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