Provider Demographics
NPI:1891116448
Name:BROWN, TERRI
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 WHEELER RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-1871
Mailing Address - Country:US
Mailing Address - Phone:706-922-9800
Mailing Address - Fax:706-922-9801
Practice Address - Street 1:3540 WHEELER RD
Practice Address - Street 2:SUITE 203
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-1871
Practice Address - Country:US
Practice Address - Phone:706-922-9800
Practice Address - Fax:706-922-9801
Is Sole Proprietor?:No
Enumeration Date:2013-12-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3200854901744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management