MISS TRACEY LORENA TELLO


Address: 931 Monroe Drive Ne, Suite 102 #641, Atlanta, GA 30308-7132
Phone: 4043121633

MISS TRACEY LORENA TELLO (NPI# 1417388232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417388232
Entity Type Individual
Full Name MISS TRACEY LORENA TELLO
Credential CSFA, ST
Practice Address 931 Monroe Drive Ne
Suite 102 #641
Atlanta
GA 30308-7132
Mailing Address 931 Monroe Dr Ne
Suite 102 #641
Atlanta
GA 30308-1793
Practice Telephone 4043121633
Mailing Telephone 4043121633
Enumeration Date 2013-12-04
Last Update Date 2018-11-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
146587 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 931 MONROE DRIVE NE
SUITE 102 #641
City ATLANTA
State GA
Zip Code 30308-7132

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NPI Name Taxonomy Address Enumeration
1689285165 Grace Mckinnon Cutchin Speech-Language Pathologist 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 2020-08-10
1063033942 Life University Chiropractor 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 2020-05-01
1184254591 Jordan Cohen Specialist 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 2020-01-24
1104463819 Gary Sydney Koech IIi Registered Nurse Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 2019-12-02
1639728207 Shannon Oliver Sullivan Counselor 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 2019-09-06
1477110187 Ariel Alibey Preventive Medicine 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 2019-05-29
1972075497 Laura Mcrae Nurse Practitioner Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-21
1265902134 Kyle Brooks Kraft Nurse Practitioner 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-04
1396211025 Vita Judkins Pharmacist 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 2018-10-20
1407345911 Caitlin Cundiff Anesthesiology 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 2018-05-09
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912356775 Jason Weddington Physician Assistant 5667 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1725 2016-06-11
1578937181 Vds Surgical Assistants, Inc. Physician Assistant 1307 W Garmon Rd, Atlanta, GA 30327-4405 2015-11-19
1407220379 Simpson Surgery Group, LLC Physician Assistant 701 Highland Ave Ne Apt 1407, #1407, Atlanta, GA 30312-1454 2015-11-16
1336587401 Marissa B Highnote Physician Assistant 6045 Barfield Rd Ste 100, Atlanta, GA 30328-4402 2013-06-11
1396013223 Signature Surgical Assistants Physician Assistant 2489 Kings Arms Dr Ne, Atlanta, GA 30345-2132 2011-12-07
1720364318 Leah Strickland Physician Assistant 4279 Roswell Road Suite 102 Pmb 303, Atlanta, GA 30342 2011-10-26
1669798872 Tiffiany Mccune Physician Assistant 4979 Lower Elm St, Atlanta, GA 30349-1677 2010-04-13
1306177233 Hong Feng Shi Physician Assistant 4355 Cobb Pkwy Ste J131, Atlanta, GA 30339-3887 2010-01-15
1821256223 Clyde D Johnson Jr. Physician Assistant 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 2008-06-02
1043408438 Samuel Marion Physician Assistant 5881 Glenridge Dr Ste 120, Atlanta, GA 30328-8184 2007-10-10
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Competitor

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City ATLANTA
Zip Code 30308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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