Individual
YILIKAL TASSEW KASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1612 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012-3738
(678) 413-3261
(678) 413-3580
Mailing address
PO BOX 1157, COVINGTON, GA 30015-1157
(678) 413-3261
(678) 413-3580
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
070175
GA
Other
Enumeration date
01/14/2011
Last updated
04/07/2016
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