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GEORGE TETTEGAH MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1164460911

Individual Registrant:
 GEORGE  TETTEGAH MD
Gender: M
Sole Proprietor

Location and contact information for practice:
338 ROCKY FORD RD  SYLVANIA, GA 30467-6402 US
Tel: 912-604-4975  Fax: --

Contact information for business:
338 ROCKY FORD RD  SYLVANIA, GA 30467-6402 US
Tel: 912-604-4975  Fax: --

Registration Information:
NPI: 1164460911
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
GA052644

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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