Provider Demographics
NPI:1043200694
Name:LUHRS, TERESA MAJOR (MD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MAJOR
Last Name:LUHRS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 FORSYTH ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-8639
Mailing Address - Country:US
Mailing Address - Phone:478-742-6738
Mailing Address - Fax:478-742-6153
Practice Address - Street 1:1062 FORSYTH ST STE 2A
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-8639
Practice Address - Country:US
Practice Address - Phone:478-742-6738
Practice Address - Fax:478-742-6153
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA032778207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000557279AMedicaid
GA202I168169Medicare PIN
GA000557279AMedicaid