Search › Georgia › 363L00000X
Terri Van Dorn, NP (ACNP-BC)
NPI 1124363577 · on the registry since 2012
Practice
- Address
- 1901 Honey Creek Commons Se
Conyers, GA 30013 - Phone
- (678) 413-3752
- Fax
- (678) 413-3751
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
363LA2200X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia