Individual
TIESE HERRINGTON DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2728 VERNON DR W, AUGUSTA, GA 30906-3271
(706) 793-5293
Mailing address
2728 VERNON DR W, AUGUSTA, GA 30906-3271
(706) 793-5293
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/25/2009
Last updated
10/25/2009
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