Organization
UNIMEDICAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EPHREM MAKONNEN (CLINIC MANAGER)
(404) 477-0849
Entity
Organization
Contact information
Practice address
4575 JONESBORO RD, FOREST PARK, GA 30297-4317
(404) 477-0849
(404) 477-0859
Mailing address
4575 JONESBORO RD, FOREST PARK, GA 30297-4317
(404) 477-0849
(404) 477-0859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041874
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85002511G
—
GA
Enumeration date
12/01/2006
Last updated
08/22/2020
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