Individual
MRS. ROSALIE BEACHER TEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1770 TUFTSTOWN CT, SNELLVILLE, GA 30078-2588
(770) 733-0905
Mailing address
1770 TUFTSTOWN CT, SNELLVILLE, GA 30078-2588
(770) 733-0905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN070131
GA
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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