Individual
GIZACHEW ASEFA SEYOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
856 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-5656
(423) 263-1803
Mailing address
730 GERMANTOWN CIR, APT # 919, EAST RIDGE, TN 37412-1861
(615) 275-9868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000035837
TN
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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