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Organization

TERRA T. DARRISAW

Active
Other names
Hines & Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERRA TERESA DARRISAW (OWNER)
(678) 327-3176
Entity
Organization

Contact information

Practice address
4526 YORKDALE DR, DECATUR, GA 30035-4253
(678) 327-3176
Mailing address
2107 N DECATUR RD # 152, DECATUR, GA 30033-5305
(678) 327-3176

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
00229772
GA

Other

Enumeration date
04/25/2012
Last updated
11/19/2012
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