Individual
TAHIRIH PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
(706) 389-6789
Mailing address
240 MITCHELL BRIDGE RD, ATHENS, GA 30606-2043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
323114
GA
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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