Individual
DR. EPHREM BELETE BANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 616-1426
(404) 616-1417
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
GA
Other
Enumeration date
04/04/2023
Last updated
04/21/2023
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