person
Emmanuel D Dafivbiroro, APRN
Primary Care Nurse Practitioner in Stone Mountain, Georgia
NPI 1215633912

Emmanuel D Dafivbiroro is a Primary Care Nurse Practitioner based in Stone Mountain, GA and is specialized in Primary Care. Emmanuel D Dafivbiroro practices in Stone Mountain, GA and has the professional credentials of APRN. The NPI Number for Emmanuel D Dafivbiroro is 1215633912 and holds a License No. RN154440 (Georgia).

The current practice location address for Emmanuel D Dafivbiroro is 6297 Robins Trce, Stone Mountain, GA and can be reached out via phone at 770-413-1424.

Location: 6297 Robins Trce, Stone Mountain, GA, 30087-6537
person
Provider Profile Details
NPI Number
1215633912
Provider Name
Emmanuel D Dafivbiroro
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
6297 Robins Trce, Stone Mountain, GA, 30087-6537
Phone Number
770-413-1424
Fax Number
Provider Enumeration Date
02/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6297 Robins Trce
City
State
Zip
30087-6537
Phone Number
770-413-1424
Fax Number
person
Provider Business Mailing Address Details
Address
6297 Robins Trce
City
State
Zip
30087-6537
Phone Number
770-413-1424
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
RN154440 (Georgia)
Definition
Definition to come...
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