Individual
MUSSIE GEBREMEDIHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
(770) 638-1411
Mailing address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
(770) 638-1411
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
86427
GA
207RC0000X
Cardiovascular Disease Physician
Primary
MD2016-0240
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69104778
—
NM
Enumeration date
07/09/2009
Last updated
09/16/2020
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