Individual
GIRMA TESFAYE BEYENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-5630
Mailing address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105095
GA
207R00000X
Internal Medicine Physician
71308
WI
208M00000X
Hospitalist Physician
105095
GA
Other
Enumeration date
04/05/2016
Last updated
12/24/2025
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