Female

Peggy Teague

Pediatric Physical Therapist in Lawrenceville, GA(View on Map)

Full Name

Peggy Teague

NPI Number

1043371974

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/13/2006

Specialties

(Taxonomies)

Code

2251P0200X
174400000X

Primary Taxonomy

Yes
No

Licenses

State

Georgia

License Number

PT005740

Contact
Information

Purpose

Mailing
Location

Address

1688 LAWRENCEVILLE HWY
1509 ATKINSON RD

City

Lawrenceville
Lawrenceville

State

GA
GA

Postal Code

30044-4608
30043-7986

Country

US
US

Telephone Number

(770) 995-2379
(770) 995-2379

Identifiers

Identifier

306072
10037766
000765817A

Identifier State

GA
GA
GA

Identifier Issuer

Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/27/2010

Provider Address

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