Individual
DR. WILLIAM BAXTER TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4 S TUNNEL RD, SUITE 800, ASHEVILLE, NC 28805-2237
(828) 298-6500
(828) 298-9108
Mailing address
4 S TUNNEL RD, SUITE 800, ASHEVILLE, NC 28805-2237
(828) 298-6500
(828) 298-9108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2124
NC
152W00000X
Optometrist
2831
TN
152W00000X
Optometrist
OPT002640
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911445
—
NC
Enumeration date
08/22/2008
Last updated
06/16/2016
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