Individual
TERESA DELANE EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 TWIN LAKES DR, MOULTRIE, GA 31768-7944
(229) 319-6755
Mailing address
104 TWIN LAKES DR, MOULTRIE, GA 31768-7944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN196327
GA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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