Individual
BETELHEM GEBREMICHEL WOLDEMARIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4919
Mailing address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-4919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101269438
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
05/04/2022
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