Individual
STEPHEN MICHAEL TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 E CENTRAL AVE STE 102, LA FOLLETTE, TN 37766-2778
(423) 907-1740
(423) 907-1743
Mailing address
919 E CENTRAL AVE STE 102, LA FOLLETTE, TN 37766-2778
(423) 907-1740
(423) 907-1743
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD33973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060057805
RAILROAD MEDICARE
TN
05
—
1523025
—
TN
Enumeration date
05/24/2006
Last updated
09/10/2020
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