Individual
DR. TESFAYE REGAA GUYASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 KELLY DR, DECHERD, TN 37324-3805
(240) 595-7324
Mailing address
109 KELLY DR, DECHERD, TN 37324
(240) 595-7324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51431
TN
Other
Enumeration date
11/15/2012
Last updated
07/21/2022
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