Individual
MRS. CANDICE M TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
120451
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120451
CERTIFICATION
IN
Enumeration date
08/23/2019
Last updated
02/24/2025
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