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:
Health care specialties
Specialty | Code | License # | 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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