Individual
WILLIAM GERALD TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
0101039613
VA
2080P0214X
Pediatric Pulmonology Physician
032667
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740226497
—
VA
Enumeration date
06/21/2006
Last updated
08/10/2023
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