Individual
NICOLE MARIE TETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 819-6000
Mailing address
625 WHEELER ST, SAVANNAH, GA 31405-5939
(912) 401-1659
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9992
GA
Other
Enumeration date
10/08/2020
Last updated
10/31/2022
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