Individual
TERESA M TARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 PARADISE CT, DOUGLASVILLE, GA 30134-5235
(404) 345-4652
Mailing address
72 PARADISE CT, DOUGLASVILLE, GA 30134-5235
(404) 345-4652
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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