Individual
NEBIYU D MULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 438-2463
Mailing address
3681 TERRASOL TRL SW, LILBURN, GA 30047-2335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
246913
GA
Other
Enumeration date
09/16/2020
Last updated
09/25/2020
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