Organization
ANDERSON HEART PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MICHAEL TEAGUE M.D. (OWNER)
(865) 483-1110
Entity
Organization
Contact information
Practice address
200 NEW YORK AVE, SUITE 110, OAK RIDGE, TN 37830-5212
(865) 483-1110
(865) 483-1170
Mailing address
200 NEW YORK AVE, SUITE 110, OAK RIDGE, TN 37830-5212
(865) 483-1110
(865) 483-1170
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD33973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3139002
BLUE CROSS AND BLUE SHIELD OF TENNESSEE
TN
05
—
3850220
—
TN
Enumeration date
06/27/2008
Last updated
06/21/2010
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