Individual
TERI J CAULFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA001980
Contact information
Practice address
135 HOYT ST, ATHENS, GA 30601-2646
(706) 549-0031
Mailing address
135 HOYT ST, ATHENS, GA 30601-2646
(706) 549-0031
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA001980
GA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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