Individual provider · Type 1 NPI
Tessa Ree Mingo
Prosthetist · Locust Grove, GA
Practice location
4912 Bill Gardner Parkway
Locust Grove, GA 30248-3025
Mailing address
2030 Towne Park Dr
Mcdonough, GA 30252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist Primary | 224P00000X | C0138190 (GA) |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
About NPI 1376207969
Tessa Ree Mingo's National Provider Identifier is 1376207969, issued on Oct 28, 2021. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Locust Grove, GA. The record was last updated on Oct 28, 2021.