Individual
ABIEL ANDEMARIAM BERHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
3690 WATERFORD PL, CLARKSTON, GA 30021-1443
(404) 551-6120
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10046
GA
Other
Enumeration date
06/27/2020
Last updated
03/23/2022
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