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KENYATTA MIREKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
771 OLD NORCROSS RD STE 260, LAWRENCEVILLE, GA 30046-4981
(770) 962-5040
(770) 962-5056
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
080834
GA

Other

Enumeration date
04/24/2014
Last updated
10/02/2018
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