Individual
SIMON PAULOS YOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 QUARTZ DR STE 101, VILLA RICA, GA 30180-3256
(770) 836-9445
(770) 836-8808
Mailing address
100 GREENWAY BLVD FL 2, CARROLLTON, GA 30117-4338
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98743
GA
Other
Enumeration date
04/02/2020
Last updated
04/04/2024
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