Individual
TERRI MORTON ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3546 COVINGTON HWY, SUITE C, DECATUR, GA 30032-1823
(404) 284-7744
(404) 284-8006
Mailing address
3546 COVINGTON HWY, SUITE C, DECATUR, GA 30032-1823
(404) 284-7744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000778016C
PEACHSTATE
GA
05
—
000778016C
—
GA
01
—
10046542
AMERIGROUP
GA
01
—
317910
WELLCARE
GA
01
—
610247700
WORKER COMP
GA
01
—
P00231885
MEDICARE RAILROAD
GA
Enumeration date
01/18/2007
Last updated
07/22/2015
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