Individual provider · Type 1 NPI

Denotta Shavonn Teagle, PA-C

Physician Assistant · Baltimore, MD

NPI number 1902807100 Active

Practice location

1501 Division St
Baltimore, MD 21217-3121

Call (410) 728-4176 Map

Fax (410) 728-4412

Mailing address

3106 Laurel View Dr
Abingdon, MD 21009-2626

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0001369 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1902807100

Denotta Shavonn Teagle, PA-C's National Provider Identifier is 1902807100, issued on Aug 10, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 30, 2010.