person
Mrs. Brooke B. Teal, PA-C
Medical Physician Assistant in Jasper, Georgia
NPI 1427093731

Brooke B. Teal is a Medical Physician Assistant based in Marietta, GA and is specialized in Medical. Brooke B. Teal practices in Jasper, GA and has the professional credentials of PA-C. The NPI Number for Brooke B. Teal is 1427093731 and holds a License No. 004814 (Georgia).

The current practice location address for Brooke B. Teal is 1020 J L White Dr Ste 160, Jasper, GA and can be reached out via phone at 706-692-0603 and via fax at 678-581-7109.

Location: 1020 J L White Dr Ste 160, Jasper, GA, 30060-6975
person
Provider Profile Details
NPI Number
1427093731
Provider Name
Brooke B. Teal
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1020 J L White Dr Ste 160, Jasper, GA, 30060-6975
Phone Number
706-692-0603
Fax Number
678-581-7109
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427093731 01 NPI NUMBER
683984257B 05 GA
683984257C 05 GA
683984257A 05 GA
institution
Provider Business Practice Location Address Details
Address
1020 J L White Dr Ste 160
City
State
Zip
30143-4910
Phone Number
706-692-0603
Fax Number
678-581-7109
person
Provider Business Mailing Address Details
Address
1020 J L White Dr Ste 160
City
State
Zip
30143-4910
Phone Number
706-692-0603
Fax Number
678-581-7109
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004814 (Georgia)
Definition
Definition to come...
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