Individual
DR. TASSEW TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2480
(404) 809-2485
Mailing address
4958 MEMORIAL DR, STONE MOUNTAIN, GA 30083-4148
(404) 809-2480
(404) 809-2485
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047542
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000870405C
—
GA
Enumeration date
10/05/2005
Last updated
05/23/2012
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