Provider Demographics
NPI:1255332045
Name:CURRY, TERESA MARIE (DC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MARIE
Last Name:CURRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:MARIE
Other - Last Name:PAULSRUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2409 WATSON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-4349
Mailing Address - Country:US
Mailing Address - Phone:715-271-2330
Mailing Address - Fax:
Practice Address - Street 1:1259 38TH AVE N
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-1313
Practice Address - Country:US
Practice Address - Phone:843-605-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4900111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U78725Medicare UPIN
WI000570660Medicare ID - Type Unspecified