Individual
TERESA R. HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2236
(706) 721-1459
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN066750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720082893A
—
GA
05
—
NP0790
—
SC
Enumeration date
08/30/2006
Last updated
04/04/2011
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