Individual
HAILU DEMISSACHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 REDMOND RD NW, ROME, GA 30165-1533
(706) 233-8504
(706) 233-8505
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
054072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413486161A
—
GA
05
—
413486161B
—
GA
05
—
413486161C
—
GA
05
—
413486161D
—
GA
05
—
413486161E
—
GA
05
—
413486161F
—
GA
05
—
413486161G
—
GA
05
—
413486161H
—
GA
Enumeration date
12/09/2006
Last updated
03/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us