Individual
NEBIAT TEWODROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
14128 W 89TH ST, LENEXA, KS 66215-2970
(816) 462-7552
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
789791002
DC
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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