Individual
REDIET HABTEMARKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7750
Mailing address
PO BOX 52007, ATLANTA, GA 30355-0007
(678) 397-0060
(678) 397-0065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
057812
GA
207R00000X
Internal Medicine Physician
26377
AL
208M00000X
Hospitalist Physician
Primary
057812
GA
Other
Enumeration date
06/08/2006
Last updated
10/07/2019
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