Individual
EDOM MEHERETAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8735 DUNWOODY PL STE N, ATLANTA, GA 30350-2995
(509) 768-2249
Mailing address
8735 DUNWOODY PL STE N, ATLANTA, GA 30350-2995
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN228253
GA
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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