SearchGeorgia156FX1800X

Michael Terrell, LDO

NPI 1760870612 · on the registry since 2014 · sole proprietor

Practice

Address
806 Cambridge Creek Dr
Conyers, GA 30094
Phone
(404) 933-9450

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-30

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