Teresa Lee Gore, PA-C

NPI #1023214087 in Annapolis, Maryland

Provider Information

NPI Number: 1023214087
Entity Type: Individual
Name: Teresa Lee Gore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 26, 2007
Last Updated: Nov 26, 2012

Practice Location

Address: 2114 GENERALS HWY
City: Annapolis
State: Maryland
ZIP Code: 21401-6723
Phone: (410) 721-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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