Individual
TEODORO ALBERTO PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1700 TREE LN STE 190, SNELLVILLE, GA 30078-6766
(470) 387-3010
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10814
GA
Other
Enumeration date
05/01/2020
Last updated
10/15/2024
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