Individual
DAVID AKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2498 JEWEL ST, ATLANTA, GA 30344-2827
(323) 426-0043
Mailing address
2498 JEWEL ST, ATLANTA, GA 30344-2827
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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