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Individual

LEIGHTON DOUGLAS TEAGUE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 GROVE RD, 5TH FLOOR, GREENVILLE, SC 29605-5611
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24080
SC
207R00000X
Internal Medicine Physician
75491
TN
208M00000X
Hospitalist Physician
Primary
24080
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
240803
SC
05
Q109576
TN
Enumeration date
05/26/2006
Last updated
02/06/2026
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