Individual
REBECCA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
PO BOX 220, CRANDALL, GA 30711-0220
(706) 537-5624
Mailing address
PO BOX 220, CRANDALL, GA 30711-0220
(706) 537-5624
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ST61395490
WA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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