Individual
SHARON TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RISGERTERED NURSE
Contact information
Practice address
19 PERRY ST STE 203, NEWNAN, GA 30263-1918
(678) 910-6888
Mailing address
388 BULLSBORO DR # 174, NEWNAN, GA 30263-1069
(678) 910-6888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN180395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825143606
TRICARE
GA
05
—
825143606
—
GA
Enumeration date
01/09/2022
Last updated
01/09/2022
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