Individual
MRS. TERA ANNE HARTGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
510 SHELVIEW CIR, CHESAPEAKE, VA 23323-7008
(330) 843-2597
Mailing address
510 SHELVIEW CIR, CHESAPEAKE, VA 23323-7008
(330) 843-2597
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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