MEDICARE: JAMES TORELL

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
1	363A00000X	Physician Assistant	7727	GA

General Provider Information

NPI Number	:	1336525641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES TORELL

Provider Business Mailing Address
First Line	:	766 FRASIER CIR SE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30060-2316
Country	:	US
Telephone Number	:	770-597-3561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 PEACHTREE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	404-367-3014
Fax Number	:	404-367-3558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2015
Last Update Date	:	05/14/2026

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Directions to “ JAMES TORELL ” Practice Location

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