Individual
TERRA HARDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 HARRIS INDUSTRIAL BLVD STE A, VIDALIA, GA 30474-8852
(912) 535-3500
Mailing address
101 HARRIS INDUSTRIAL BLVD STE A, VIDALIA, GA 30474-8852
(912) 535-3500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN169559
GA
363LF0000X
Family Nurse Practitioner
RN169559
GA
Other
Enumeration date
12/18/2017
Last updated
05/21/2021
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