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Mahlet Mekonnen

Nurse Practitioner, Family in Decatur, GA. Individual provider (NPI-1).

NPI number1861812349
StatusActive
Last updated in NPPESApr 23, 2014

Details

NPI
1861812349
Entity type
Individual (NPI-1)
Name
Mahlet Mekonnen
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2014
Last updated
Apr 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN228653GAYes

Practice location

445 Winn Way
Decatur, GA 30030-1707

Phone 404-294-3700 · Fax 404-297-7203

Mailing address

445 Winn Way
Decatur, GA 30030-1707

Phone 404-294-3700 · Fax 404-297-7203

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