Individual
TERRELL PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 LANIER AVE W STE 910, FAYETTEVILLE, GA 30214-7641
(678) 812-9248
Mailing address
510 AUGUSTUS CT, JONESBORO, GA 30238-5929
(678) 812-9248
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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