Individual
DR. JACKSON TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-2525
Mailing address
732 TANASI TRAIL, UNIT A-8, TOWNSEND, TN 37882
(865) 622-1873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5140
TN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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