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1083980700
VANDELIA TEAL-SURRATT
ATLANTA, GA
NPI
1083980700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 17777)
Enumeration Date
2012-03-27
Last Update Date
2015-05-22
Business Address
-- VANDELIA TEAL-SURRATT NP
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328-5834
Phone number: 404-645-7563
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Mailing Address
-- VANDELIA TEAL-SURRATT NP
1469 HILLIAN EDWARDS RD
CHERAW, SC 29520-5652
Phone number: 843-910-7587
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