Tedder, Hampton

Tedder, Hampton is an individual health care provider with primary practice located at 3928 Landmark Dr , Douglasville GA 30135-1290. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Tedder, Hampton can be contacted via phone (334) 524-6589.

Contact Information

Primary practice address
3928 Landmark Dr Douglasville GA 30135-1290
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 19117787 Georgia

Profile Details

NPI number 1053952226
LBN Legal business name Tedder, Hampton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2019
Last updated Sep 30th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053952226 NPPES
Georgia Other 2310C UNITEDHEALTHCARE, BLUECROSSBLUESHIELD, AMBETTER, HUMANA, AETNA, WELLCARE, CIGNA,

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