Tessa Ree Mingo
NPI #1376207969 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1376207969
- Entity Type
- Individual
- Name
- Tessa Ree Mingo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetist
- Enumeration Date
- Oct 28, 2021
- Last Updated
- Oct 28, 2021
Practice Location
- Address
- 4912 BILL GARDNER PARKWAY
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3025
- Phone
- (662) 542-4644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetist |
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Organizations
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|---|---|
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