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Individual

BENIAM TEFERA ABEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5579
(404) 252-5206
Mailing address
1561 JANMAR RD, SNELLVILLE, GA 30078-5639
(678) 344-8900
(678) 666-5201

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
8985
GA
363AS0400X
Surgical Physician Assistant
GA

Other

Enumeration date
09/18/2018
Last updated
05/08/2022
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