Individual
TERRI GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 FLETCHER ST, SAME, CEDARTOWN, GA 30125-3249
(770) 748-1500
(770) 749-1094
Mailing address
740 FLETCHER ST, SAME, CEDARTOWN, GA 30125-3249
(770) 748-1500
(770) 749-1094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1890
GA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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