Individual
BENJAMIN DAVID TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
40 MEDICINE CIRCLE DUMC 3094, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
113 OVERLOOK DR, WILMINGTON, NC 28411-9670
(614) 446-0889
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TEAG-U2C74
NC
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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