Individual
YOSAN NEGGA VILFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
541 FOREST PKWY STE 14, FOREST PARK, GA 30297-6110
(678) 949-9448
(678) 922-2133
Mailing address
1720 PHOENIX BLVD STE 900, COLLEGE PARK, GA 30349-5597
(404) 631-6156
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
11160
GA
2084N0400X
Neurology Physician
11160
GA
363AS0400X
Surgical Physician Assistant
11160
GA
Other
Enumeration date
09/07/2022
Last updated
01/06/2025
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