MS. Antoinette Theodore, PA-C
MS. Antoinette Theodore, PA-C is a Physician Assistant in Peachtree Corners, Georgia. Qualified in 2017, 9 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.
- Years since qualifying
- 9
- Licensed in
- GA
- In the registry since
- 2017
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
5635 Peachtree Pkwy Ste 180Peachtree Corners, GA 30092-2823
Phone: (470) 938-6670
Fax: (678) 272-3144
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 105 Iver Pl Apt 325, Fayetteville, GA 30214-4607 — (407) 361-2054
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 10250 (GA) |
|---|
Record details
| NPI number | 1558882381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 1, 2017 |
| Last updated in NPPES | January 26, 2022 |
| Certification date | January 26, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Personal Recovery Network Llc — 605 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |