Individual provider · Type 1 NPI
Telita Anthony, CSA
Surgical Physician Assistant · Kennesaw, GA
NPI number
1831485861
Active
Practice location
3649 Bancroft Main NW
Kennesaw, GA 30144-6012
Fax (770) 675-3716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 2898 (GA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Kennesaw
About NPI 1831485861
Telita Anthony, CSA's National Provider Identifier is 1831485861, issued on Jun 28, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kennesaw, GA. The record was last updated on Apr 3, 2014.