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Individual

BRENDA TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4015 S COBB DR SE, SUITE 115, SMYRNA, GA 30080-6303
(770) 431-2354
(770) 436-7143
Mailing address
4725 LEGACY COVE LN, MABLETON, GA 30126-2580

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2588
GA

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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