Individual
MULUGETA TAREKEGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2719 MIDDLEBURG DR, SUITE 201, COLUMBIA, SC 29204-2414
(803) 256-6828
(803) 256-6827
Mailing address
2719 MIDDLEBURG DR, SUITE 201, COLUMBIA, SC 29204-2414
(803) 256-6828
(803) 256-6827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21648
SC
208M00000X
Hospitalist Physician
21648
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216484
—
SC
01
—
GP3800
GROUP MCAID NUMBER
SC
Enumeration date
04/25/2006
Last updated
09/05/2024
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