Individual
CHRISTOPHER TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(067) 212-5057
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
05/18/2023
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