Individual
CLARA MICHELLE TETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4482 COMMERCE DR STE 201, BUFORD, GA 30518-7503
(770) 302-2251
Mailing address
2834 OVERLAKE RUN, POWDER SPRINGS, GA 30127-5027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN214499
GA
Other
Enumeration date
10/09/2018
Last updated
11/20/2018
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