Tesfaye MD
Family Medicine in Norcross, GA. Organization (NPI-2).
NPI number1487840468
StatusActive
Last updated in NPPESSep 24, 2007
Details
- NPI
- 1487840468
- Entity type
- Organization (NPI-2)
- Legal business name
- Tesfaye MD
- Organization subpart
- No
- Enumeration date
- Sep 24, 2007
- Last updated
- Sep 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
4045 Royal Pennon CtNorcross, GA 30092-2178
Phone 770-474-5470 · Fax 770-474-4620
Mailing address
4045 Royal Pennon CtNorcross, GA 30092-2178
Phone 770-474-5470 · Fax 770-474-4620
Authorized official
Tassew Tesfaye
Ceo/Owner
7704745470
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