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NPI Code Detail

MEDICARE: TONYA DELANEY

MEDICARE: TONYA DELANEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW008451GA

General Provider Information

NPI Number : 1104523075
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA DELANEY
Provider Business Mailing Address
First Line : 5041 TURNBERRY PL
Second Line :
City : MONROE
State : GA
Zip : 30656-3381
Country : US
Telephone Number : 770-280-7292
Fax Number :
Provider Business Practice Location Address
First Line : 745 S MILLEDGE AVE STE 1A
Second Line :
City : ATHENS
State : GA
Zip : 30605-1292
Country : US
Telephone Number : 706-498-9560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 02/13/2023

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Directions to “ TONYA DELANEY ” Practice Location

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