Individual
TERESA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
5448 WHITTLESEY BLVD STE B, COLUMBUS, GA 31909-7298
(706) 322-8046
(706) 322-5621
Mailing address
5448 WHITTLESEY BLVD STE B, COLUMBUS, GA 31909-7298
(706) 322-8046
(706) 322-5621
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2177
GA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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