Individual
MR. JOSEPH TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2102
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3702
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3702
TENNESSEE COMMITTEE ON PHYSICIAN ASSISTANT STATE NUMBER
TN
Enumeration date
10/12/2018
Last updated
03/14/2022
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