Individual
BELETE AYELE DESIMMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(304) 691-1000
Mailing address
203 REDMOND RD NW, ROME, GA 30165-1537
(204) 422-2380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
96451
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2020
Last updated
07/27/2023
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