TERESE INC.
Managed Care Organizations at Peach Orchard Rd, Augusta, GA

License number
Georgia RPH09972
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: TERESE K FORDHAM
Title: OWNER
Phone: (706) 798-3253
Address
Address
2529 Peach Orchard Rd, Augusta, GA 30906
National Provider ID: 1013467190
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TERESE, INC

2529 Peach Orch Rd, Augusta, GA 30906

Industry:
Ret Drugs/Sundries
Registration:
Dec 12, 2005
State ID:
0584488
Business type:
Domestic Profit Corporation
President, Principals:
M Kristen Cozart (CFO), 4713 Rollins Rd, Augusta, GA 30906 (Physical),N Mallory Eubanks (Secretary), 1528 Stevens Crk Dr, North Augusta, SC 29860 (Physical),K Terese Fordham (CEO), 203 Dixon Ct, Evans, GA 30809 (Physical),...

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