Individual
SEMERE TESFAMARIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 HISTORIC HWY, DEMOREST, GA 30535
(706) 754-2161
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92791
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92791
GA LICENSE
GA
Enumeration date
05/16/2019
Last updated
07/05/2023
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