GRALYN TEAGUE NPI 1881461291

NPI Information

NPI: 1881461291
Provider Name: GRALYN TEAGUE
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC
ZIP 29303
Phone: (864) 582-6396
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Gralyn Teague is a surgical physician assistant in Spartanburg, SC. Gralyn Teague NPI is 1881461291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC
ZIP 29303-219
Phone: (864) 582-6396
Fax: (864) 249-8127

The NPI 1881461291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 4/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			No
2	363AS0400X	Physician Assistant	Surgical	5197	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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