Individual
NEGIST SISAY TILAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 JUNIPER ST NE, ATLANTA, GA 30308-1307
(404) 873-2871
Mailing address
705 JUNIPER ST NE, ATLANTA, GA 30308-1307
(404) 873-2871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN310837
GA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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