Individual
GETAHUN MAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 PARKSTONE DR, STONE MOUNTAIN, GA 30083-3518
(404) 751-7829
Mailing address
906 PARKSTONE DR, STONE MOUNTAIN, GA 30083-3518
(404) 751-7829
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
GA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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