Individual
EMMANUEL D DAFIVBIRORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6297 ROBINS TRCE, STONE MOUNTAIN, GA 30087-6537
(770) 413-1424
Mailing address
6297 ROBINS TRCE, STONE MOUNTAIN, GA 30087-6537
(770) 413-1424
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-NP154440
GA
Other
Enumeration date
02/03/2023
Last updated
10/29/2025
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