Individual
TERESA BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3404 KENT FARM RD, MILLEN, GA 30442-3442
(478) 982-6300
Mailing address
5135 E OLD SAVANNAH RD, MILLEN, GA 30442-5125
(912) 531-0459
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN168266
GA
Other
Enumeration date
03/07/2017
Last updated
10/21/2025
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