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Individual

TERESA DONNA HERLEVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2405 N FRASER ST, GEORGETOWN, SC 29440-7764
(843) 545-7274
(843) 545-8315
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5162
SC
363AM0700X
Medical Physician Assistant
8095103-1206
UT

Other

Enumeration date
10/27/2011
Last updated
11/11/2025
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