Individual provider · Type 1 NPI
Tracey Lorena Tello, CSFA, ST
Surgical Physician Assistant · Atlanta, GA
NPI number
1417388232
Active
Practice location
931 Monroe Drive NE, Suite 102 #641
Atlanta, GA 30308-7132
Mailing address
931 Monroe Dr NE, Suite 102 #641
Atlanta, GA 30308-1793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 146587 (GA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1417388232
Tracey Lorena Tello, CSFA, ST's National Provider Identifier is 1417388232, issued on Dec 4, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atlanta, GA. The record was last updated on Nov 28, 2018.