Individual
HANNA TESFAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7021 NC HIGHWAY 751, DURHAM, NC 27707-5730
(919) 235-1600
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-02051
NC
207Q00000X
Family Medicine Physician
5101021326
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477964930
—
NC
Enumeration date
05/17/2014
Last updated
02/11/2025
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