Individual
HIYAB MENASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1382 S PARK ST, CARROLLTON, GA 30117-4411
(678) 664-3260
Mailing address
1148 DOUGLAS FIR CT, LAWRENCEVILLE, GA 30044-6258
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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