Individual
AMSEL MELKA SIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 TREE LANE ROAD, SUITE 200, SNELLVILLE, GA 30078
(770) 979-0367
(770) 979-1830
Mailing address
1800 TREE LANE ROAD, SUITE 200, SNELLVILLE, GA 30078
(770) 979-0367
(770) 979-1830
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
051895
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043439752A
—
GA
01
—
CD7170
RAILROAD MEDICARE
GA
01
—
GRP2664
GROUP MEDICARE #
GA
Enumeration date
10/16/2006
Last updated
07/08/2007
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