Individual
TERESA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
51 COUNTY ROAD 618, RANBURNE, AL 36273-3361
(256) 846-0829
Mailing address
51 COUNTY ROAD 618, RANBURNE, AL 36273-3361
(256) 846-0829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN142160
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN142160
GEORGIA SECRETARY OF STATE PROFESSIONAL LICENSING
GA
Enumeration date
01/04/2016
Last updated
01/04/2016
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