Individual
ASHENAFI TASSEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE # 111, MARIETTA, GA 30060-1101
(770) 793-7750
Mailing address
805 SANDY PLAINS RD, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
073858
GA
207R00000X
Internal Medicine Physician
5643
GA
208M00000X
Hospitalist Physician
Primary
073858
GA
Other
Enumeration date
06/27/2012
Last updated
11/01/2019
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