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Individual

REBECCA TEAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 778-5975
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
102228
GA
207P00000X
Emergency Medicine Physician
84212
SC
207P00000X
Emergency Medicine Physician
R4594
KY

Other

Enumeration date
03/29/2017
Last updated
01/16/2025
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