Individual provider · Type 1 NPI
Brooke B. Teal, PA-C
Medical Physician Assistant · Jasper, GA
NPI number
1427093731
Active
Practice location
1020 J L White Dr Ste 160
Jasper, GA 30143-4910
Fax (678) 581-7109
Mailing address
531 Roselane St NW Ste 710
Marietta, GA 30060-6975
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 004814 (GA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Jasper
About NPI 1427093731
Brooke B. Teal, PA-C's National Provider Identifier is 1427093731, issued on Jun 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jasper, GA. The record was last updated on Apr 17, 2019.