Individual
THERESA M. COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 EMERY HWY, RIVER EDGE BEHAVIORAL HEALTH, MACON, GA 31217-3692
(478) 803-7631
(478) 803-8596
Mailing address
175 EMERY HWY, RIVER EDGE BEHAVIORAL HEALTH, MACON, GA 31217-3692
(478) 803-7631
(478) 803-8596
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
027043
GA
208000000X
Pediatrics Physician
28043
WA
Other
Enumeration date
08/10/2006
Last updated
03/29/2016
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