Individual
DR. BIRUK TASSEW MENGISTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4919
Mailing address
818 CITYSCAPE PLZ NE, ATLANTA, GA 30308-2451
(215) 626-3358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
006552
GA
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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