Organization
MEMORIAL DRIVE FAMILY MEDICINE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASSEW TESFAYE M.D. (MEDICAL DOCTOR)
(404) 809-2480
Entity
Organization
Contact information
Practice address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2480
(404) 809-2485
Mailing address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2480
(404) 809-2485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
07/12/2012
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