| Doctor Name: | MS. RUTH L TELLANO-DANIEL |
| NPI Number: | 1396836722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 2360 |
| Business Practice Address: | 367 Clear Creek Pkwy Lavonia, GA - 305534173 |
| Business Phone Number: | 7063567800 |
| Business Fax Number: | |
| Mailing Address: | 204 Ridgewood Ln, HARTWELL |
| State: | GA |
| Postal Code: | 306434146 |
| Phone Number: | 8647874418 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 12/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |