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Organization
MEMORIAL DRIVE FAMILY MEDICINE P.C
Active
Organization
MEMORIAL DRIVE FAMILY MEDICINE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASSEW TESFAYE M.D. (MEDICAL DOCTOR)
(404) 809-2480
Entity
Organization
Contact information
Practice address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2480
(404) 809-2485
Mailing address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2480
(404) 809-2485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
07/12/2012
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