Tessa Ree Mingo
Prosthetist
4912 Bill Gardner Parkway
Locust Grove
, Georgia 30248-3025
Tessa Ree Mingo
Prosthetist
4912 Bill Gardner Parkway
Locust Grove
, Georgia 30248-3025
(662) 542-4464
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Tessa Ree Mingo
- 2030 Towne Park Dr
- Mcdonough, GA
- Zip : 30252
- Phone : (662) 542-4464
Second Address
- Tessa Ree Mingo
- 4912 Bill Gardner Parkway
- Locust Grove, GA
- Zip : 30248-3025
- Phone : (662) 542-4644
Reviews
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What type of doctor is Tessa Ree Mingo
In what state does Tessa Ree Mingo practice in?
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Is Tessa Ree Mingo a sole practitioner?
Is Tessa Ree Mingo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | C0138190 | GA |
National Provider Identifier
| NPI | 1376207969 |
|---|---|
| Provider Name | Tessa Ree Mingo |
| First Address | Mcdonough, GA 30252 |
| Second Address | Locust Grove, GA 30248-3025 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2021 |
| Last Update Date | 28/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.