SearchGeorgia363AS0400X

Telita Anthony, CSA

NPI 1831485861 · on the registry since 2011 · sole proprietor

Practice

Address
3649 Bancroft Main Nw
Kennesaw, GA 30144
Phone
(770) 905-3089
Fax
(770) 675-3716

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-03

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