Individual
IVAN NEMORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 16TH ST NW, ATLANTA, GA 30363-1097
(770) 912-4583
Mailing address
470 16TH ST NW, ATLANTA, GA 30363-1097
(770) 912-4583
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
007762
GA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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