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Individual

DR. SOLOMON TAFARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-7885
Mailing address
2680 PETE SHAW RD, MARIETTA, GA 30066-2224
(404) 783-5027

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42956
GA
207R00000X
Internal Medicine Physician
ME72210
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110231088
RAILROAD MEDICARE
FL
05
262807400
FL
01
42252
BLUECROSS/BLUESHIELD
FL
Enumeration date
10/17/2005
Last updated
04/18/2023
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