Individual
SELAMAWIT Y MAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
687 FORD AVE, LAWRENCEVILLE, GA 30044-5767
(404) 695-8026
Mailing address
687 FORD AVE, LAWRENCEVILLE, GA 30044-5767
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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