Individual
MICHAEL D TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E LAMAR ALEXANDER PARKWAY, MARYVILLE, TN 37804-5012
(865) 981-2335
(865) 694-4339
Mailing address
PO BOX 51883, KNOXVILLE, TN 37950-1883
(865) 766-8897
(865) 766-8874
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
21749
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21749
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3826237
—
TN
Enumeration date
05/23/2006
Last updated
09/17/2012
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