Lemlem Ashenafi Mamo, MD
Internal Medicine in Atlanta, GA. Individual provider (NPI-1).
NPI number1164085320
StatusActive
Last updated in NPPESNov 14, 2023
Details
- NPI
- 1164085320
- Entity type
- Individual (NPI-1)
- Name
- Lemlem Ashenafi Mamo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2019
- Certification date
- Nov 14, 2023
- Last updated
- Nov 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 92170 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
303 Parkway Dr Ne Fl 4Atlanta, GA 30312-1212
Phone 404-265-4919
Mailing address
304 Turner McCall Blvd SwRome, GA 30165-5621
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