Individual
DR. MOLLA Y. TESHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
56728-020
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
84155
GA
207RP1001X
Pulmonary Disease Physician
56728-020
WI
207RP1001X
Pulmonary Disease Physician
Primary
84155
GA
Other
Enumeration date
03/23/2010
Last updated
12/08/2021
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