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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TEKLEWOLD H LAKE, PA-C

Active

TEKLEWOLD H LAKE, PA-C is a Physician Assistant healthcare provider located in DORAVILLE, Georgia. NPI 1932426210 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DORAVILLE, GA

Registration Details

NPI Number
1932426210
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2010 (16.272498264472 yrs)
Last Updated
Apr 27, 2010
License
005767 (GA)

Practice Information

Address
2830 CLEARVIEW PL
SUITE 500
DORAVILLE, GA, 303402134
Browse GA providers · Browse ZIP 30340
Phone
6786380888
Fax
6785072360
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DORAVILLE, GA

Name Credential NPI
MS. JULIE ELIZABETH ABRAHAMSON PA-C 1134395866
TENEKA HOSANG PA 1356699110
IKRAM AWAD 1811859713
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.