Tedder, Hampton
Tedder, Hampton is an individual health care provider with primary practice located at 3928 Landmark Dr , Douglasville GA 30135-1290. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Tedder, Hampton can be contacted via phone (334) 524-6589.Contact Information
Primary practice address
3928 Landmark Dr
Douglasville GA 30135-1290
Phone: (334) 524-6589
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 19117787 | Georgia |
Profile Details
| NPI number | 1053952226 |
|---|---|
| LBN Legal business name | Tedder, Hampton |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2019 |
| Last updated | Sep 30th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053952226 | NPPES |
| Georgia | Other | 2310C | UNITEDHEALTHCARE, BLUECROSSBLUESHIELD, AMBETTER, HUMANA, AETNA, WELLCARE, CIGNA, |
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