Dr Angela Girello, OD | |
1035 Lancaster Sq, Roswell, GA 30076-6328 | |
(678) 245-4244 | |
Not Available |
Full Name | Dr Angela Girello |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1035 Lancaster Sq, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427295740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1495 (Georgia) | Primary |
Provider Name | Tasobb, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184342818 PECOS PAC ID: 7214304930 Enrollment ID: O20221109000003 |
Mailing Address | Practice Location Address |
---|---|
Dr Angela Girello, OD 1035 Lancaster Sq, Roswell, GA 30076-6328 Ph: (678) 245-4244 | Dr Angela Girello, OD 1035 Lancaster Sq, Roswell, GA 30076-6328 Ph: (678) 245-4244 |
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