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Aden Abate Desta
Family Nurse Practitioner in Austell, Georgia
NPI 1265136808

Aden Abate Desta is a Family Nurse Practitioner based in Austell, GA and is specialized in Family. Aden Abate Desta practices in Austell, GA. The NPI Number for Aden Abate Desta is 1265136808 and holds a License No. 283567 (Georgia).

The current practice location address for Aden Abate Desta is 3950 Austell Rd, Austell, GA and can be reached out via phone at 770-732-4000.

Location: 3950 Austell Rd, Austell, GA, 30106-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265136808
Provider Name
Aden Abate Desta
Credential
Provider Entity Type
Individual
Gender
Female
Address
3950 Austell Rd, Austell, GA, 30106-1121
Phone Number
770-732-4000
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3950 Austell Rd
City
Austell
State
Georgia
Zip
30106-1121
Phone Number
770-732-4000
Fax Number
person
Provider Business Mailing Address Details
Address
3950 Austell Rd
City
Austell
State
Georgia
Zip
30106-1121
Phone Number
770-732-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
283567 (Georgia)
Definition
Definition to come...
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