Individual
MRS. THERESA ANN SCHORNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
130 MEDICAL WAY, STOCKBRIDGE, GA 30281-9088
(770) 389-4543
(770) 474-0566
Mailing address
392 BANKSTOWN RD, BROOKS, BROOKS, GA 30205-1608
(770) 719-5390
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN136627
GA
Other
Enumeration date
02/22/2007
Last updated
09/14/2016
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