Organization
BETUZZI-TEAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOYRA BETUZZI-TEAS M.D., C.S.A (AGENT)
(515) 450-3360
Entity
Organization
Contact information
Practice address
3207 JEFFERSON SQUARE CT, DECATUR, GA 30030-1730
(515) 450-3360
Mailing address
3207 JEFFERSON SQUARE CT, DECATUR, GA 30030-1730
(515) 450-3360
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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