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NPI Code Detail

MEDICARE: TIGISTY GIRMAY RN

MEDICARE: TIGISTY GIRMAY RN
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
1163W00000XRegistered NurseRN165959GA

General Provider Information

NPI Number : 1851455786
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIGISTY GIRMAY RN
Provider Business Mailing Address
First Line : 440 WINN WAY
Second Line :
City : DECATUR
State : GA
Zip : 30030-1715
Country : US
Telephone Number : 404-508-7857
Fax Number : 404-508-7826
Provider Business Practice Location Address
First Line : 440 WINN WAY
Second Line :
City : DECATUR
State : GA
Zip : 30030-1715
Country : US
Telephone Number : 404-508-7857
Fax Number : 404-508-7826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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Directions to “ TIGISTY GIRMAY RN” Practice Location

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