Individual
TERESA SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FERRY RD BLDG H, MARIETTA, GA 30068-5518
(770) 977-0364
Mailing address
273 SHELTON CIR, TEMPLE, GA 30179-5495
(770) 634-8904
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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