Individual
DAWIT TEKLEMARIAM ANTONIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058-4996
(404) 501-5222
Mailing address
PO BOX 1170, LAWRENCEVILLE, GA 30046-1170
(470) 325-0159
(470) 325-0191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
055388
GA
208M00000X
Hospitalist Physician
Primary
055388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580618709F
—
GA
Enumeration date
05/09/2006
Last updated
11/27/2023
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