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Anteneh Birru, M.D.

Internal Medicine in Lawrenceville, GA. Individual provider (NPI-1).

NPI number1063851236
StatusActive
Last updated in NPPESJan 5, 2024

Details

NPI
1063851236
Entity type
Individual (NPI-1)
Name
Anteneh Birru
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2013
Certification date
Jan 5, 2024
Last updated
Jan 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine54646TNYes
208M00000X Hospitalist54646TN
208M00000X Hospitalist90695GA

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3273

Mailing address

975 E 3rd St
Attn: Provider Enrollment
Chattanooga, TN 37403-2147

Phone 423-661-7718 · Fax 423-778-2108

Other practice locations

975 E 3rd St
Chattanooga, TN 37403-2147

Phone 423-661-7718 · Fax 423-778-2108

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