Individual
KOMIVI KPESSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
985 MOUNT ZION RD APT 4A, MORROW, GA 30260-2234
(404) 934-3173
Mailing address
985 MOUNT ZION RD APT 4A, MORROW, GA 30260-2234
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
008350
GA
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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