Individual
YEMISRACH MAMO BISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 690-8334
(404) 751-5398
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 690-8334
(404) 751-5398
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/02/2015
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