Individual
MRS. TERESSA LOUISE ENTREKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
4220 HIGHWAY 142 STE D, NEWBORN, GA 30056-2020
(770) 784-5410
(770) 788-1828
Mailing address
4220 HIGHWAY 142 STE D, NEWBORN, GA 30056-2020
(770) 784-5410
(770) 788-1828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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