Individual
TESHARA FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
3609 RIVER ROCK RD, STONECREST, GA 30038-3386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017023197
MO
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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