Individual
ELIZABETH A TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
361 OLD BELGRADE RD, AUGUSTA, ME 04330-8058
(207) 621-6100
(207) 621-6102
Mailing address
361 OLD BELGRADE RD, AUGUSTA, ME 04330-8058
(207) 621-6100
(207) 621-6102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1225
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435979299
—
ME
Enumeration date
08/26/2010
Last updated
12/27/2021
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