Individual provider · NPI-1

Teresa Beavers

Prosthetic/Orthotic Supplier · Atlanta, GA

NPI number1609730142
StatusActive
Last updated in NPPESDec 10, 2025

Details

NPI
1609730142
Entity type
Individual (NPI-1)
Name
Teresa Beavers
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 10, 2025
Certification date
Dec 10, 2025
Last updated
Dec 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier–GAYes

Practice location

2870 Peachtree Rd Nw # 915-1369
Atlanta, GA 30305-2918

Phone 678-849-6927

Mailing address

2870 Peachtree Rd Nw # 915-1369
Atlanta, GA 30305-2918

Phone 678-849-6927

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