Individual
DR. WODERYELESH KASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3825 MEDICAL PARK DR STE 200, AUSTELL, GA 30106-6831
(770) 948-5578
Mailing address
3825 MEDICAL PARK DR STE 200, AUSTELL, GA 30106-6831
(770) 948-5578
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
95343
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
07/12/2023
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