Individual
TERESA JONES OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1316 N LAKE DR, LEXINGTON, SC 29072-7653
(803) 358-1191
(803) 358-1180
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17349
SC
207Q00000X
Family Medicine Physician
22983
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173494
—
SC
Enumeration date
12/16/2005
Last updated
05/24/2023
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