TEKLEWOLD H LAKE

DORAVILLE, GA
NPI1932426210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  005767)
Enumeration Date2010-04-27
Last Update Date2010-04-27
Business Address
-- TEKLEWOLD H LAKE PA-C
2830 CLEARVIEW PL SUITE 500
DORAVILLE, GA 30340-2134
Phone number: 678-638-0888
Mailing Address
-- TEKLEWOLD H LAKE PA-C
2830 CLEARVIEW PL SUITE 500
DORAVILLE, GA 30340-2134
Phone number: 678-638-0888
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