Search › Georgia › 224P00000X
Tessa Mingo
NPI 1376207969 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4912 Bill Gardner Parkway
Locust Grove, GA 30248 - Phone
- (662) 542-4644
Registry record
- Primary taxonomy
- 224P00000X
224P00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia