Individual
SAMUEL GEBREYONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1365 CLIFTON RD NE, CCU, ATLANTA, GA 30322-1013
(404) 778-3914
Mailing address
3173 WINDFIELD CIR, TUCKER, GA 30084-6719
(516) 220-1553
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
194592
GA
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
RN194592
GA
Other
Enumeration date
10/13/2011
Last updated
12/30/2025
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