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Getahun Mamo
NPI 1215787395 · on the registry since 2024
Practice
- Address
- 906 Parkstone Dr
Stone Mountain, GA 30083 - Phone
- (404) 751-7829
- Organisation at this address
- Medride Lp
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia