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Contact Information

MICHAEL D TEAGUE, MD
907 E LAMAR ALEXANDER PARKWAY
MARYVILLE, TN37804-5012
 Phone: 865-981-2335
 Fax: 865-694-4339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MICHAEL D TEAGUE · (Male)

NPI # 1619922457
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 09/17/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 21749
  • TN Medicaid 3826237
Hospital affiliation(s)
  • BLOUNT MEMORIAL HOSPITAL - (Acute Care)
    907 E LAMAR ALEXANDER PARKWAY
    MARYVILLE, TN 37804
  • UNIVERSITY OF TN MEMORIAL HOSPITAL - (Acute Care)
    1924 ALCOA HIGHWAY
    KNOXVILLE, TN 37920
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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