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

Tessa Ree Mingo

Individual provider Prosthetist · NPI 1376207969

Tessa Ree Mingo is a Prosthetist in Locust Grove, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

4912 Bill Gardner Pkwy
Locust Grove, GA 30248-3025
Phone: (662) 542-4644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence C0138190 (GA)

Record details

NPI number1376207969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address2030 Towne Park Dr, McDonough, GA 30252