Individual
FASIKA T ENYEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1870 ATLANTA HWY, GAINESVILLE, GA 30504-5948
(770) 534-0670
Mailing address
314 CALSTONE DR, ALLEN, TX 75013-2975
(972) 837-7323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214850
GA
Other
Enumeration date
08/31/2019
Last updated
06/13/2022
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