Individual
ETSUBDENKE AREAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5468 MEMORIAL DR STE D, STONE MOUNTAIN, GA 30083-3267
(404) 963-2142
Mailing address
5468 MEMORIAL DR STE D, STONE MOUNTAIN, GA 30083-3267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN224247
GA
363L00000X
Nurse Practitioner
Primary
RN224247
GA
Other
Enumeration date
09/14/2016
Last updated
08/09/2025
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