Olson, Teresa Jones

Olson, Teresa Jones is an individual health care provider with primary practice located at 1316 N Lake Dr , Lexington SC 29072-7653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Olson, Teresa Jones can be contacted via phone (803) 358-1191.

Contact Information

Primary practice address
1316 N Lake Dr Lexington SC 29072-7653
Fax: (803) 358-1180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22983 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17349 South Carolina

Profile Details

NPI number 1619953015
LBN Legal business name Olson, Teresa Jones
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated May 24th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619953015 NPPES
South Carolina MEDICAID 173494

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