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Kellie Tedisco
Psychiatric/Mental Health Registered Nurse in Luthersville, Georgia
NPI 1780233452

Kellie Tedisco is a Psychiatric/Mental Health Registered Nurse based in Luthersville, GA and is specialized in Psychiatric/Mental Health. Kellie Tedisco practices in Luthersville, GA. The NPI Number for Kellie Tedisco is 1780233452 and holds a License No. RN231182 (Georgia).

The current practice location address for Kellie Tedisco is 129 Kelly Farm Dr, Luthersville, GA and can be reached out via phone at 770-510-3520.

Location: 129 Kelly Farm Dr, Luthersville, GA, 30251-1607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780233452
Provider Name
Kellie Tedisco
Credential
Provider Entity Type
Individual
Gender
Female
Address
129 Kelly Farm Dr, Luthersville, GA, 30251-1607
Phone Number
770-510-3520
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
129 Kelly Farm Dr
City
Luthersville
State
Georgia
Zip
30251-1607
Phone Number
770-510-3520
Fax Number
person
Provider Business Mailing Address Details
Address
129 Kelly Farm Dr
City
Luthersville
State
Georgia
Zip
30251-1607
Phone Number
770-510-3520
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
RN231182 (Georgia)
Definition
Definition to come...
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