Individual
MS. GINA DENISE TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HIGHWAY 31 NW, HARTSELLE, AL 35640-4258
(256) 565-9225
Mailing address
2301 HIGHWAY 31 NW, HARTSELLE, AL 35640-4258
(256) 565-9225
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
AL
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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