NPI 1033475496

Roy Antoine Teague, IDC

Practitioner Independent Duty Corpsman Jacksonville, NC

Practice location

Address: 807 Springwood Dr, Jacksonville, NC 28546-9621
Phone: (972) 567-1630

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in North Carolina →

Registry record

NPI: 1033475496
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2012
Record last updated: 10 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.