Provider Demographics
NPI:1568809796
Name:ABNEY, HOWARD TEASLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:TEASLEY
Last Name:ABNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HARDEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-2410
Mailing Address - Country:US
Mailing Address - Phone:706-769-7625
Mailing Address - Fax:
Practice Address - Street 1:33 HARDEN HILL RD
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-2410
Practice Address - Country:US
Practice Address - Phone:706-769-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13949208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery