Individual
TERESA BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2870 PEACHTREE RD NW # 915-1369, ATLANTA, GA 30305-2918
(678) 849-6927
Mailing address
2870 PEACHTREE RD NW # 915-1369, ATLANTA, GA 30305-2918
(678) 849-6927
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
GA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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