Teague, Leighton Douglas

Teague, Leighton Douglas is an individual health care provider with primary practice located at 701 Grove Rd 5Th Floor, Greenville SC 29605-5611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Teague, Leighton Douglas can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd 5Th Floor Greenville SC 29605-5611
Fax: (864) 455-4480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 24080 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24080 South Carolina

Profile Details

NPI number 1225084809
LBN Legal business name Teague, Leighton Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225084809 NPPES
South Carolina MEDICAID 240803

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