Individual
DANILA SERGEYEVICH TEPTSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
95 COLLIER RD NW STE 2065, ATLANTA, GA 30309-1705
(404) 605-2800
Mailing address
2705 MALL OF GEORGIA BLVD APT 618, BUFORD, GA 30519-8724
(404) 455-0303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
01/10/2023
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