NPI 1013467190

Terese INC.

Organisation Point of Service Augusta, GA

Practice location

Address: 2529 Peach Orchard Rd, Augusta, GA 30906-2412
Phone: (706) 798-3253
Fax: (706) 798-3225

Authorised official

Name: Terese K Fordham
Title: Owner
Phone: (706) 798-3253

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence RPH09972 (GA)

Other Point of Service providers in Georgia →

Registry record

NPI: 1013467190
Entity type: Organization
NPI issued: 12 Oct 2016
Record last updated: 12 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.