Individual
JUAN CARLOS TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 ORTHO LANE, SOM SUITE/5TH FLOOR, ATLANTA, GA 30329-2315
(404) 778-2516
(214) 648-7517
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9006
(214) 648-2168
(214) 648-7517
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16217
GA
Other
Enumeration date
07/23/2020
Last updated
05/21/2024
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