Individual
KIBREWESSEN DAGNE TEFERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4919
(404) 265-4989
Mailing address
805 SANDY PLAINS RD, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006549
GA
207R00000X
Internal Medicine Physician
075928
GA
208M00000X
Hospitalist Physician
Primary
075928
GA
Other
Enumeration date
06/27/2013
Last updated
10/15/2019
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