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

Telita Anthony, CSA

Individual provider Surgical Physician Assistant · NPI 1831485861

Telita Anthony, CSA is a Surgical Physician Assistant in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
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Practice location Address checks out

3649 Bancroft Main NW
Kennesaw, GA 30144-6012
Phone: (770) 905-3089
Fax: (770) 675-3716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2898 (GA)

Record details

NPI number1831485861
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA
Sole proprietorYes
NPI enumeratedJune 28, 2011
Last updated in NPPESApril 3, 2014

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