Provider Demographics
NPI:1467754788
Name:ADES, TERESA B
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:B
Last Name:ADES
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:TERRI
Other - Middle Name:B
Other - Last Name:ADES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, FNP-BC, AOCN
Mailing Address - Street 1:250 WILLIAMS ST NW
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1032
Mailing Address - Country:US
Mailing Address - Phone:404-329-7785
Mailing Address - Fax:404-327-6404
Practice Address - Street 1:250 WILLIAMS ST NW
Practice Address - Street 2:6TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1032
Practice Address - Country:US
Practice Address - Phone:404-329-7785
Practice Address - Fax:404-327-6404
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN075965363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily