Individual
THERESA ANN COTHREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TENDER LOVING CARE
Contact information
Practice address
168 DRURY CT, HORTENSE, GA 31543-2906
(912) 230-9564
(912) 778-3541
Mailing address
168 DRURY CT, HORTENSE, GA 31543-2906
(912) 778-3541
(912) 778-3541
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0000012775
GA
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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