Individual
MS. MARY TEAGUE INGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-4949
Mailing address
1940 ELMER J BISSELL RD, BIRMINGHAM, AL 35243-2941
(205) 930-0920
(205) 445-0143
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA339
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940606
—
AL
01
—
0366100001
CIGNA GOVERNMENT SERVICES PTAN
AL
01
—
P99440
HEALTH SPRINGS
AL
Enumeration date
02/13/2006
Last updated
03/24/2026
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