George Tettegah, MD
Individual provider Active NPI Emergency Medicine Physician · Sylvania, GA
NPI 1164460911 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164460911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 052644 (GA)
- Practice address
- 338 Rocky Ford Rd
Sylvania, GA 30467-6402 - Phone
- (912) 604-4975
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052644 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCabe Medical Group LLC | Emergency Medicine | Past |
Accepting new patients |
| Burke Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast Inc | Emergency Medicine | Past | Accepting new patients |
| Memorial Health Urgentone, Inc. | Emergency Medicine | Past | Accepting new patients |
| Evans Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| McRae Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 052644 | GA | Yes |
Addresses
Primary practice location
338 Rocky Ford Rd
Sylvania, GA 30467-6402
Mailing address
338 Rocky Ford Rd
Sylvania, GA 30467-6402
Phone (912) 604-4975
Other providers in Sylvania, GA
- Southland Optim Screven Emergency Medical Services LLC
- Billie Salina Stout
- Syl-View Health Care Center, Inc.
- Sylvania Way Inc
- Tattnall Hospital Company, LLC
- Allyson A Thomas
- Shannon M Thomas
- Thrive Therapy and Wellness Services LLC
- Under the Shadows Private Home Care
- Walgreen Co
All providers in Sylvania, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.