Individual
MEKLIT SHIFERAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
979 BRITTFIELD WAY, LOGANVILLE, GA 30052-4864
(678) 614-9040
Mailing address
979 BRITTFIELD WAY, LOGANVILLE, GA 30052-4864
(678) 614-9040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN297848
GA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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