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Tessa Ree Mingo
Prosthetist in Locust Grove, Georgia
NPI 1376207969

Tessa Ree Mingo is a Prosthetist based in Mcdonough, GA. Tessa Ree Mingo practices in Locust Grove, GA. The NPI Number for Tessa Ree Mingo is 1376207969 and holds a License No. C0138190 (Georgia).

The current practice location address for Tessa Ree Mingo is 4912 Bill Gardner Parkway, Locust Grove, GA and can be reached out via phone at 662-542-4644.

Location: 4912 Bill Gardner Parkway, Locust Grove, GA, 30252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376207969
Provider Name
Tessa Ree Mingo
Credential
Provider Entity Type
Individual
Gender
Female
Address
4912 Bill Gardner Parkway, Locust Grove, GA, 30252
Phone Number
662-542-4644
Fax Number
Provider Enumeration Date
10/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4912 Bill Gardner Parkway
City
Locust Grove
State
Georgia
Zip
30248-3025
Phone Number
662-542-4644
Fax Number
person
Provider Business Mailing Address Details
Address
4912 Bill Gardner Parkway
City
Locust Grove
State
Georgia
Zip
30248-3025
Phone Number
662-542-4644
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
C0138190 (Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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