Individual
YODIT DEMEKE TSEGAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 LAKEVIEW RD, GRAYSON, GA 30017-1141
(678) 933-5121
Mailing address
1208 LAKEVIEW RD, GRAYSON, GA 30017-1141
(678) 933-5121
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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