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Individual

DR. TAKELE TESHI CHALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(770) 732-4022
Mailing address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(770) 732-4022

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
073992
GA
207R00000X
Internal Medicine Physician
57-022038
OH
208M00000X
Hospitalist Physician
Primary
073992
GA

Other

Enumeration date
10/31/2012
Last updated
09/30/2019
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