Individual
KIM SANDY TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CNS
Contact information
Practice address
985 RIDGE TARN, ATLANTA, GA 30350-3426
(770) 399-9365
(770) 399-1871
Mailing address
985 RIDGE TARN, ATLANTA, GA 30350
(404) 616-3454
(404) 616-4737
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN105719
GA
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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