Individual
SYDE A BIRIKORANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4216 STILLWATER DR, DULUTH, GA 30096-5596
(678) 304-9953
Mailing address
4216 STILLWATER DR, DULUTH, GA 30096-5596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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