Individual
DR. TERRI JO TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2173 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-6553
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7815
(718) 869-7834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27063
MS
Other
Enumeration date
05/08/2015
Last updated
06/04/2020
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