Anthony, Telita

Anthony, Telita is an sole proprietor health care provider with primary practice located at 3649 Bancroft Main Nw , Kennesaw GA 30144-6012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Anthony, Telita can be contacted via phone (770) 905-3089.

Contact Information

Primary practice address
3649 Bancroft Main Nw Kennesaw GA 30144-6012
Phone: (770) 905-3089
Fax: (770) 675-3716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2898 Georgia

Profile Details

NPI number 1831485861
LBN Legal business name Anthony, Telita
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2011
Last updated Apr 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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