Individual
TEAGAN MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6355 WALKER LN, ALEXANDRIA, VA 22310-3245
(703) 313-9111
Mailing address
4306 ANN FITZ HUGH DR, ANNANDALE, VA 22003-3850
(703) 822-3786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011360
VA
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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