Individual
DR. TAYE TOLCHA GONFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 N. CHURCH STREET, GREENSBORO, NC 27401
(336) 832-7000
Mailing address
212 PINEGATE CIR APT 5, CHAPEL HILL, NC 27514-2223
(336) 430-0550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018-02775
NC
208M00000X
Hospitalist Physician
Primary
2018-02775
NC
Other
Enumeration date
04/18/2016
Last updated
08/21/2019
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