Provider Demographics
NPI:1720491103
Name:HARPER, TERZA DENISE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:TERZA
Middle Name:DENISE
Last Name:HARPER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:TERZA
Other - Middle Name:DENISE
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1900 10TH AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-3607
Mailing Address - Country:US
Mailing Address - Phone:706-641-0104
Mailing Address - Fax:706-641-0106
Practice Address - Street 1:1900 10TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3607
Practice Address - Country:US
Practice Address - Phone:706-641-0104
Practice Address - Fax:706-641-0106
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007165363AS0400X
GA7165363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical