Individual
DAGMAWIT ASSEFA MEKURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 602-7800
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
93029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003276803C
—
GA
Enumeration date
05/07/2019
Last updated
05/29/2024
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