Fourre, Teresa Grace
Fourre, Teresa Grace is an sole proprietor health care provider with primary practice located at 4080 Holly Springs Pkwy , Canton GA 30115-7410. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Fourre, Teresa Grace can be contacted via phone (770) 345-7885.Contact Information
Primary practice address
4080 Holly Springs Pkwy
Canton GA 30115-7410
Phone: (770) 345-7885
Fax: (770) 345-7883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | CHIR006079 | Georgia |
Profile Details
| NPI number | 1972642296 |
|---|---|
| LBN Legal business name | Fourre, Teresa Grace |
| Credentials | D.C., CNMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972642296 | NPPES |
| Georgia | Other | 52726673 | BLUE CROSS BLUE SHIELD # |
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