Teresa Delane Edge

NPI #1174480958 in Moultrie, Georgia

Provider Information

NPI Number: 1174480958
Entity Type: Individual
Name: Teresa Delane Edge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Jan 5, 2026
Last Updated: Jan 5, 2026

Practice Location

Address: 104 TWIN LAKES DR
City: Moultrie
State: Georgia
ZIP Code: 31768-7944
Phone: (229) 319-6755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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