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Organization
TESFAYE MD
Active
Organization
TESFAYE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASSEW TESFAYE MD (CEO/OWNER)
(770) 474-5470
Entity
Organization
Contact information
Practice address
4045 ROYAL PENNON CT, NORCROSS, GA 30092-2178
(770) 474-5470
(770) 474-4620
Mailing address
4045 ROYAL PENNON CT, NORCROSS, GA 30092-2178
(770) 474-5470
(770) 474-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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