Teresa Bristol in Atlanta - Orthopedic

Teresa Bristol - NPI 1053381400

Teresa Bristol is a Orthopedic in Atlanta, Georgia. Teresa Bristol practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Teresa Bristol is 1053381400. The last update date is 2019-09-20.

Teresa Bristol's current location address is 400 W Peachtree St Nw, Atlanta, Georgia. You can contact this provider via phone number 4707332135 and fax number 8557039473. The mailing address for Teresa Bristol is 400 W Peachtree St Nw, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa Bristol
Address 400 W Peachtree St Nw, Atlanta, Georgia
Phone Number 4707332135
Fax Number 8557039473
Sole Proprietor N
Credentials PT, CERT.

NPI Number Detail

NPI Number 1053381400
Provider Enumeration Date 2006-01-26
Last Updated Date 2019-09-20

Provider Mailing Address Detail

Address 400 W Peachtree St Nw
City Atlanta
State Georgia (GA)
Post Code 303083536
Phone Number 4707332135
Fax Number 8557039473

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No PT007043
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
003190988A GA --
4620664 CIGNA
5207111 GA AMERIGROUP
105338140-001 GA TRICARE SOUTH

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FAQs about Teresa Bristol

What is the unique 10-digit identifier code assigned to Teresa Bristol by the Centers for Medicare & Medicaid Services?

The Teresa Bristol has been issued the NPI (National Provider Identifier) 1053381400 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Teresa Bristol's facilities are situated?

The facilities of Teresa Bristol are physically located at the following address: 400 W Peachtree St Nw, Atlanta, GA, 303083536.

What is Teresa Bristol's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Teresa Bristol's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.

On what date did Teresa Bristol receive its 1053381400 assignment from the Centers for Medicare & Medicaid Services?

The Teresa Bristol was assigned its 1053381400 on 2006-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Teresa Bristol, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Teresa Bristol, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-09-20.

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