Individual
GASHAW TEDLA TAFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 S HERLONG AVE STE 250, ROCK HILL, SC 29732-2147
(803) 325-8742
(803) 325-2369
Mailing address
6720 JOLIETTE LN, CHARLOTTE, NC 28277
(704) 543-1388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019226
SC
Other
Enumeration date
05/22/2006
Last updated
11/16/2011
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