Provider Information for 1871021253
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ASRES ORIT GETANEK
Sex: Female
NPI: 1871021253
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1871021253 | ||||||||
| Enumeration Date | 2017-05-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1814 CLAIRMONT RD DECATUR, GA 30033-3405 United States Phone: 404-636-1457 | Fax:404-636-7449 | ||||||||
| Primary Practice Address | 1814 CLAIRMONT RD DECATUR, GA 30033-3405 United States Phone: 404-636-1457 | Fax:404-636-7449 | ||||||||
| Secondary Practice Address(es) | 5901 HUGH HOWELL RD | ||||||||
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