Provider Demographics
NPI:1598858425
Name:SCINEAUX, TRESSA RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TRESSA
Middle Name:RENEE
Last Name:SCINEAUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASSERTIVE
Other - Middle Name:
Other - Last Name:OB GYN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11330 MUSETTE CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2127
Mailing Address - Country:US
Mailing Address - Phone:404-933-5442
Mailing Address - Fax:
Practice Address - Street 1:11330 MUSETTE CIR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2127
Practice Address - Country:US
Practice Address - Phone:404-933-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049499207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA549451921CMedicaid
GA549451921DMedicaid
GA549451921GMedicaid
GA549451921CMedicaid