Individual
ADEN ABATE DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
283567
GA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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