Individual
BENADETTE KERUBO MAKORI-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3950 AUSTELL RD, BOX 22, AUSTELL, GA 30106-1121
(470) 732-4022
(470) 732-4023
Mailing address
3950 AUSTELL RD, BOX 22, AUSTELL, GA 30106-1121
(470) 732-4022
(470) 732-4023
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
074063
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2008
Last updated
10/31/2019
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