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NPI Code Detail

MEDICARE: DEMETRIUS RWOE

MEDICARE: DEMETRIUS RWOE
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1750964003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMETRIUS RWOE
Provider Business Mailing Address
First Line : 5724 RIVERDALE RD APT J13
Second Line :
City : ATLANTA
State : GA
Zip : 30349-6833
Country : US
Telephone Number : 678-755-2233
Fax Number :
Provider Business Practice Location Address
First Line : 5724 RIVERDALE RD APT J13
Second Line :
City : ATLANTA
State : GA
Zip : 30349-6833
Country : US
Telephone Number : 678-755-2233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2021
Last Update Date : 05/04/2021

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Directions to “ DEMETRIUS RWOE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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