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1073582110
TODD TEAGUE
JACKSON, TN
NPI
1073582110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD28190)
Enumeration Date
2006-03-14
Last Update Date
2012-11-29
Business Address
-- TODD TEAGUE MD
2863 HIGHWAY 45 BYP
JACKSON, TN 38305-3618
Phone number: 731-664-1375
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Mailing Address
-- TODD TEAGUE MD
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-423-8697
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