Teague, Julius Lynn

Teague, Julius Lynn is an individual health care provider with primary practice located at 200 Patewood Dr Suite A115, Greenville SC 29615-3593. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Teague, Julius Lynn can be contacted via phone (864) 454-5105.

Contact Information

Primary practice address
200 Patewood Dr Suite A115 Greenville SC 29615-3593
Phone: (864) 454-5105
Fax: (864) 454-5655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD105657 Missouri
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 30292 South Carolina

Profile Details

NPI number 1245277987
LBN Legal business name Teague, Julius Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 25th, 2021 - about 5 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 1245277987 NPPES
South Carolina MEDICAID 302924
South Carolina Other 576007863094

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