Provider Demographics
NPI:1699166538
Name:TEIGE, MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:TEIGE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 FIGUERS DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3824
Mailing Address - Country:US
Mailing Address - Phone:615-513-0147
Mailing Address - Fax:
Practice Address - Street 1:2269 WILMA RUDOLPH BLVD
Practice Address - Street 2:STE. 103
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3179
Practice Address - Country:US
Practice Address - Phone:855-806-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist