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Berhanu Ejigu Kededa, NP-C
Family Nurse Practitioner in Tucker, Georgia
NPI 1184994105

Berhanu Ejigu Kededa is a Family Nurse Practitioner based in Tucker, GA and is specialized in Family. Berhanu Ejigu Kededa practices in Tucker, GA and has the professional credentials of NP-C. The NPI Number for Berhanu Ejigu Kededa is 1184994105 and holds a License No. RN152429 (Georgia).

The current practice location address for Berhanu Ejigu Kededa is 5576 Princeton Run Trl, Tucker, GA and can be reached out via phone at 678-793-8808.

Location: 5576 Princeton Run Trl, Tucker, GA, 30084-8463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184994105
Provider Name
Berhanu Ejigu Kededa
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
5576 Princeton Run Trl, Tucker, GA, 30084-8463
Phone Number
678-793-8808
Fax Number
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5576 Princeton Run Trl
City
Tucker
State
Georgia
Zip
30084-8463
Phone Number
678-793-8808
Fax Number
person
Provider Business Mailing Address Details
Address
5576 Princeton Run Trl
City
Tucker
State
Georgia
Zip
30084-8463
Phone Number
678-793-8808
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN152429 (Georgia)
Definition
Definition to come...
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