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Organization
EPWAVE, LLC
Active
Organization
EPWAVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LALISSIE MERGA CNIM (CEO)
(770) 734-3876
Entity
Organization
Contact information
Practice address
3338 PEACHTREE RD NE, SUITE 710, ATLANTA, GA 30326-1026
(770) 734-3876
(770) 234-5103
Mailing address
PO BOX 94, CONYERS, GA 30012-0094
(770) 734-3876
(770) 234-5103
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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