Individual
TEWODROS NEGASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4440 RIDERS RIDGE TRL, SNELLVILLE, GA 30039-8580
(404) 482-8537
Mailing address
4440 RIDERS RIDGE TRL, SNELLVILLE, GA 30039-8580
(404) 482-8537
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN288423
GA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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