Trello, Connie A

Trello, Connie A is an individual health care provider with primary practice located at 1350 Walton Way 3Rd Fl Critical Care Medicine, Augusta GA 30901-2612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Trello, Connie A can be contacted via phone (706) 774-5713.

Contact Information

Primary practice address
1350 Walton Way 3Rd Fl Critical Care Medicine Augusta GA 30901-2612
Phone: (706) 774-5713
Fax: (706) 774-5792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 043495 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 043495 Georgia

Profile Details

NPI number 1609858984
LBN Legal business name Trello, Connie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jan 22nd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609858984 NPPES
South Carolina MEDICAID G43495
South Carolina MEDICAID 000736766E
South Carolina MEDICAID 000736766F

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