Individual
TERESA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2308 DOMINION CT APT B, ALBANY, GA 31721-2893
(229) 255-9380
Mailing address
2308 DOMINION CT APT B, ALBANY, GA 31721-2893
(229) 255-9380
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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