MISS TRACEY LORENA TELLO CSFA, ST
NPI 1417388232
Physician Assistant - Surgical in Atlanta, GA
- Individual
- Female
- Physician Assistant
- Surgical
About TRACEY TELLO
This page provides the complete NPI Profile along with additional information for Tracey Tello, a provider established in Atlanta, Georgia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1417388232 assigned on December 2013. The practitioner's primary taxonomy code is 363AS0400X with license number 146587 (GA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1417388232 Verify this NPI
- Provider Name
- MISS TRACEY LORENA TELLO CSFA, ST
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 931 MONROE DRIVE NE SUITE 102 #641 ATLANTA, GA 30308
- Location Phone
- (404) 312-1633
- Mailing Address
- 931 MONROE DR NE SUITE 102 #641 ATLANTA, GA 30308
- Mailing Phone
- (404) 312-1633
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-04-2013
- Last Update Date
- 11-28-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 146587
- License State
- GA
Reviews for MISS TRACEY LORENA TELLO CSFA, ST
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417388232, enumerated as an "individual" on December 04, 2013.
The provider is located at 931 MONROE DRIVE NE SUITE 102 #641 ATLANTA, GA 30308 and the phone number is (404) 312-1633.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
