Betuzzi-Teas, LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

BETUZZI-TEAS, LLC

Practice address

3207 Jefferson Square CT
Decatur, GA 30030-1730

Phone

(515) 450-3360

NPI assigned

Nov 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moyra Betuzzi-Teas, M.D., C.S.A

Title

Agent

Phone

(515) 450-3360

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415404800000",
    "number": "1568868172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 JEFFERSON SQUARE CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301730",
            "telephone_number": "515-450-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 JEFFERSON SQUARE CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301730",
            "telephone_number": "515-450-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETUZZI-TEAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A",
        "authorized_official_last_name": "BETUZZI-TEAS",
        "authorized_official_first_name": "MOYRA",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "515-450-3360",
        "authorized_official_credential": "M.D., C.S.A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.