IndividualActive
Clint Teague, M.D.
NPI 1851326888 · Pediatric Radiology Physician · Jackson, MS
Provider details
- NPI number
- 1851326888
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 17473 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (604) 984-1000
Fax: (601) 815-0434
Approximate (ZIP-level) locationGet directions
Mailing address
504 Clinton Center Dr Ste 4300
Clinton, MS 39056-5610
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2021-11-19
- Certified
- 2021-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.