Guillory, Tesha Ann
Guillory, Tesha Ann is an individual health care provider with primary practice located at 2701 N Decatur Rd , Decatur GA 30033-5918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Guillory, Tesha Ann can be contacted via phone (404) 501-1000.Contact Information
Primary practice address
2701 N Decatur Rd
Decatur GA 30033-5918
Phone: (404) 501-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 75804 | Georgia |
Profile Details
| NPI number | 1356607998 |
|---|---|
| LBN Legal business name | Guillory, Tesha Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Aug 2nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356607998 | NPPES |
| Georgia | MEDICAID | PENDING |
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