Individual
TENEKA HOSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2830 CLEARVIEW PL, 900, DORAVILLE, GA 30340-2134
(404) 429-5949
Mailing address
5871 WESTCHASE ST, ATLANTA, GA 30336-2912
(404) 398-4960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005546
GA
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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