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Individual

TOLAWAK KEJELA BEYENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
35 COLLIER RD NW STE 635, ATLANTA, GA 30309-1611
(404) 367-3014
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
86588
GA
207R00000X
Internal Medicine Physician
D0081110
MD
208M00000X
Hospitalist Physician
Primary
86588
GA

Other

Enumeration date
04/15/2013
Last updated
10/01/2020
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