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VANDELIA TEAL-SURRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(404) 645-7563
(770) 874-6884
Mailing address
1469 HILLIAN EDWARDS RD, CHERAW, SC 29520-5652
(843) 910-7587

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17777
SC

Other

Enumeration date
03/27/2012
Last updated
05/22/2015
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