VANDELIA TEAL-SURRATT NP
NPI 1083980700
Nurse Practitioner - Adult Health in Atlanta, GA
Active since March 27, 2012
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328(404) 645-7563(770) 874-6884 Get Directions Write a Review
About Vandelia Teal-surratt Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VANDELIA TEAL-SURRATT NP (NPI 1083980700) is an individual adult health provider in Atlanta, Georgia, licensed in South Carolina (17777) and active in the NPI registry since March 2012.
NPPES Registry Identity
NPI1083980700
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVANDELIA TEAL-SURRATTCredential: NP
Location Address5665 NEW NORTHSIDE DR STE 320Atlanta, GA 30328-5834
Mailing Address1469 Hillian Edwards RdCheraw, SC 29520-5652 · (843) 910-7587
Phone(404) 645-7563
Fax(770) 874-6884
Sole ProprietorNo
Enumeration DateMarch 27, 2012
Last NPPES UpdateMay 22, 2015
✔ NPI 1083980700 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SC · 17777
5665 NEW NORTHSIDE DR STE 320, Atlanta, GA 30328
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Anesthesiologist Assistant
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328
ATLANTA, GA 30328
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083980700, enumerated as an "individual" on March 27, 2012.
The provider is located at 5665 NEW NORTHSIDE DR STE 320 ATLANTA, GA 30328 and the phone number is (404) 645-7563.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
