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Individual
SHARON TERRY
Active
Individual
SHARON TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RISGERTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN180395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825143606
TRICARE
GA
05
—
825143606
—
GA
Enumeration date
01/09/2022
Last updated
01/09/2022
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