Korah, Tessy

Korah, Tessy is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Korah, Tessy can be contacted via phone (352) 392-3681.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Fax: (352) 392-9887
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME87235 Florida

Profile Details

NPI number 1649230384
LBN Legal business name Korah, Tessy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2006
Last updated Nov 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649230384 NPPES
Florida MEDICAID 273156800

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