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Individual

ABRAHAM ASIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 ETOWAH FERRY DR APT 1416, ACWORTH, GA 30102-1767
(706) 351-7762
Mailing address
1000 ETOWAH FERRY DR APT 1416, ACWORTH, GA 30102-1767
(706) 351-7762

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN326086
GA

Other

Enumeration date
04/11/2026
Last updated
04/11/2026
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