Individual
GETAHUN AYANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4605 ROCKLAND TRL, ANTIOCH, TN 37013-5627
(615) 600-2803
Mailing address
4605 ROCKLAND TRL, ANTIOCH, TN 37013-5627
(615) 600-2803
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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