MEDICARE: TSION YOHANNES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH029020	GA

General Provider Information

NPI Number	:	1346693470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TSION YOHANNES

Provider Business Mailing Address
First Line	:	3331 SADDLEGATE DR
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-6722
Country	:	US
Telephone Number	:	678-665-4255
Fax Number	:

Provider Business Practice Location Address
First Line	:	3472 MACON RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-2528
Country	:	US
Telephone Number	:	706-563-4992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	07/13/2016

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Directions to “ TSION YOHANNES ” Practice Location

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