Individual
SIRARE HEZRON BABERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 CARVER RD, GRIFFIN, GA 30224-3937
(770) 227-9222
Mailing address
571 MARIPOSA LN, MCDONOUGH, GA 30253-3031
(404) 916-1326
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN209504
GA
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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