Individual
HEATHER TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 KENNEDY DR, AUGUSTA, GA 30904-4923
(706) 294-1985
Mailing address
2105 KENNEDY DR, AUGUSTA, GA 30904-4923
(706) 294-1985
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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