Individual
TEKI SUSAN HEGWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-4641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-4641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
064386
GA
207VG0400X
Gynecology Physician
31062
AL
Other
Enumeration date
10/03/2006
Last updated
12/14/2016
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