TERESE INC. NPI 1013467190

NPI Information

TERESE INC. is a point of service in Augusta, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. TERESE INC. NPI is 1013467190. The provider is registered as an organization entity type.
The provider Is Doing Business As Peach Orchard Drugs.

The provider's business location address is:

2529 PEACH ORCHARD RD
AUGUSTA, GA
ZIP 30906-412
Phone: (706) 798-3253
Fax: (706) 798-3225

The provider's authorized official is Terese K Fordham .
The authorized official title is Owner and has the following contact phone number (706) 798-3253.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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