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NPI Code Detail

MEDICARE: FELECIA WILLIAMS TERRY RPH

MEDICARE: FELECIA WILLIAMS TERRY RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH022557GA

General Provider Information

NPI Number : 1225144595
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELECIA WILLIAMS TERRY RPH
Provider Business Mailing Address
First Line : 5230 DALLAS HWY
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-4263
Country : US
Telephone Number : 770-792-8250
Fax Number :
Provider Business Practice Location Address
First Line : 5230 DALLAS HWY
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-4263
Country : US
Telephone Number : 770-792-8250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 12/19/2022

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