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Individual

KIBREWESSEN DAGNE TEFERA

Active
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Individual

KIBREWESSEN DAGNE TEFERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006549
GA
207R00000X
Internal Medicine Physician
075928
GA
208M00000X
Hospitalist Physician
Primary
075928
GA

Other

Enumeration date
06/27/2013
Last updated
10/15/2019
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