Individual
MEBRAHTOM W TESFAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-01772
NC
207R00000X
Internal Medicine Physician
Primary
40101
SC
207R00000X
Internal Medicine Physician
MD40101
SC
Other
Enumeration date
11/02/2007
Last updated
12/26/2024
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