TESSA REE MINGO NPI 1376207969

NPI Information

NPI: 1376207969
Provider Name: TESSA REE MINGO
Classification: Prosthetist - 224P00000X
Entity Type: Individual
Address:
4912 BILL GARDNER PARKWAY
LOCUST GROVE, GA
ZIP 30248
Phone: (662) 542-4644
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Tessa Ree Mingo is a prosthetist in Locust Grove, GA. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Tessa Ree Mingo NPI is 1376207969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4912 BILL GARDNER PARKWAY
LOCUST GROVE, GA
ZIP 30248-025
Phone: (662) 542-4644

The enumeration date for this NPI number is 10/28/2021 and was last updated on 10/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	224P00000X	Prosthetist		C0138190	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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