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NPI Code Detail

MEDICARE: MR. TERRY LEE HASH M.S.

MEDICARE: MR. TERRY LEE HASH M.S.
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1932542628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRY LEE HASH M.S.
Provider Business Mailing Address
First Line : 1944 BRANNAN RD
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-4310
Country : US
Telephone Number : 678-289-6981
Fax Number : 678-289-6983
Provider Business Practice Location Address
First Line : 1944 BRANNAN RD
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-4310
Country : US
Telephone Number : 678-289-6981
Fax Number : 678-289-6983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2013
Last Update Date : 04/11/2013

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