Individual
DR. ABEBE D KASSAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 CENTRAL AVE, SUITE 6 & 7, AUGUSTA, GA 30904-6717
(706) 736-5378
(706) 738-9922
Mailing address
2100 CENTRAL AVE, SUITE 6 & 7, AUGUSTA, GA 30904-6717
(706) 736-5378
(706) 738-9922
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
063248
GA
208D00000X
General Practice Physician
36117613
IL
Other
Enumeration date
09/17/2007
Last updated
10/21/2009
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