Individual provider · Type 1 NPI
Vandelia Teal-Surratt, NP
Adult Health Nurse Practitioner · Atlanta, GA
NPI number
1083980700
Active
Practice location
5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Fax (770) 874-6884
Mailing address
1469 Hillian Edwards Rd
Cheraw, SC 29520-5652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 17777 (SC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1083980700
Vandelia Teal-Surratt, NP's National Provider Identifier is 1083980700, issued on Mar 27, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Atlanta, GA. The record was last updated on May 22, 2015.