Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Tracey Lorena Tello, CSFA, ST

Individual provider Surgical Physician Assistant · NPI 1417388232

Miss. Tracey Lorena Tello, CSFA, ST is a Surgical Physician Assistant in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2013

Practice location Address checks out

931 Monroe Dr NE Ste 102 #641
Atlanta, GA 30308-7132
Phone: (404) 312-1633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 146587 (GA)

Record details

NPI number1417388232
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA , ST
Sole proprietorYes
NPI enumeratedDecember 4, 2013
Last updated in NPPESNovember 28, 2018

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