Individual
MELINDA JANE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CUMBERLAND LN STE 1, JACKSBORO, TN 37757-2702
(423) 562-9459
Mailing address
116 CUMBERLAND LN STE 1, JACKSBORO, TN 37757-2702
(423) 562-9459
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0000002784
TN
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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