Search › Georgia › 363AM0700X
Antoinette Theodore, PA-C
NPI 1558882381 · on the registry since 2017
Practice
- Address
- 5635 Peachtree Pkwy Ste 180
Peachtree Corners, GA 30092 - Phone
- (470) 938-6670
- Fax
- (678) 272-3144
- Organisation at this address
- Origin Dental Llc
Peachtree Corners Dental AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 105 Iver Pl Apt 325, Fayetteville, GA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-26
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