Healthcare Provider Details

I. General information

NPI: 1598858425
Provider Name (Legal Business Name): TRESSA SCINEAUX HURST MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASSERTIVE OB GYN MD

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 TOWNPARK LN NW
KENNESAW GA
30144-5579
US

IV. Provider business mailing address

11330 MUSETTE CIR
ALPHARETTA GA
30009-2127
US

V. Phone/Fax

Practice location:
  • Phone: 404-365-0966
  • Fax:
Mailing address:
  • Phone: 404-933-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number049499
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: