Gebremedihn, Mussie

Gebremedihn, Mussie is an individual health care provider with primary practice located at 1468 Montreal Rd , Tucker GA 30084-6901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gebremedihn, Mussie can be contacted via phone (770) 638-1400.

Contact Information

Primary practice address
1468 Montreal Rd Tucker GA 30084-6901
Phone: (770) 638-1400
Fax: (770) 638-1411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD2016-0240 New Mexico
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 86427 Georgia

Profile Details

NPI number 1497984660
LBN Legal business name Gebremedihn, Mussie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Sep 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497984660 NPPES
New Mexico MEDICAID 69104778

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